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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Does Hyperintense Foci In White Matter On MRI Suggest?

Dear Sir, I have received my MR angio report where all the artery of righ/left are normal. like common carotid artery. internal carotid artery. but there is impression where it is mentioned Few Hyperinstense foci are seen in the bilateral fronto-parietal and periventricular whiter matter, most likely ischmeic etiology what is the meaning of this.
Tue, 25 Nov 2014
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Radiologist,  's  Response
Hello

Hyperintense foci in white matter on MRI may be due to many reasons like ischemic changes,demyelination,post traumatic sequel,lyme's disease etc.

You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Treatment depend upon findings.

Follow up MRI can be done to rule out demyelinating disease.
You also need clinical correlation.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does Hyperintense Foci In White Matter On MRI Suggest?

Hello Hyperintense foci in white matter on MRI may be due to many reasons like ischemic changes,demyelination,post traumatic sequel,lyme s disease etc. You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. Treatment depend upon findings. Follow up MRI can be done to rule out demyelinating disease. You also need clinical correlation. Get well soon. Take Care Dr.Indu Bhushan