Hello
Thanks for writing to HCM
Multiple T2/hyperintense lesions in the subcortical white matter bilaterally may be due to chronic microvascular ischemic changes resulting from involvement of small blood vessels,
demyelination,post traumatic sequel etc.
Since it is not progressed,ischemic changes are likely.
Chronic microvascular ischemic changes are due to ischemic changes resulting from blood vessels changes in diseases like
hypertension,
diabetes mellitus,dyslipidemia.
So,she need monitoring of conditions that leads to ischemic changes like hypertension,altered
lipid profile,diabetes mellitus.
She need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
She is also suffering from left
maxillary sinusitis and to a lesser degree in the right maxillary sinus,sphenoid sinus,ethmoid air cells and left frontal sinus.
Hope i have answered your query.
Take Care
Dr.Indu Bhushan