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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The MRI Report Indicate?

What does this suggest from MRI today?
There is a small zone of T2 hyperintensity adjacent to      
the frontal horn of the left lateral ventricle, associated with a      
smaller area of intrinsic CSF signal intensity. No contrast      
enhancement is seen. No signs of diffusion restriction. The      
characteristics are most likely that of gliosis and cystic      
encephalomalacia secondary to an old small infarct. Separately,      
there are a number of additional tiny foci of scattered T2      
hyperintensity in both cerebral hemispheres compatible with      
minimal microvascular ischemic disease
Fri, 5 Dec 2014
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Neurologist 's  Response
I read your query and I understand your concern.
That MRI report doesn't show any acute lesions, nothing threatening in short term. However it shows the remains of a small stroke, which you have had a long time ago. Perhaps you already knew that, but if you didn't it is not surprising because it is a small stroke and could have happened without major noticeable symptoms. There are also small scattered changes related to narrowing and occlusion of small vessels.
This report indicates that you are at risk of having a stroke in the future so you should pay attention to risk factors for that and address them. Risk factors include high blood pressure, diabetes, smoking, high cholesterol, obesity, sedentary lifestyle. Correcting them will lower the risk for stroke in the future.
It would be useful to know your age. These findings are frequent in the older population, but if you are young and without risk factors known then you should also be evaluated and tested for other rarer causes like inflammatory conditions, metabolic conditions, genetic inherited conditions etc.
I hope to have been of help.
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What Does The MRI Report Indicate?

I read your query and I understand your concern. That MRI report doesn t show any acute lesions, nothing threatening in short term. However it shows the remains of a small stroke, which you have had a long time ago. Perhaps you already knew that, but if you didn t it is not surprising because it is a small stroke and could have happened without major noticeable symptoms. There are also small scattered changes related to narrowing and occlusion of small vessels. This report indicates that you are at risk of having a stroke in the future so you should pay attention to risk factors for that and address them. Risk factors include high blood pressure, diabetes, smoking, high cholesterol, obesity, sedentary lifestyle. Correcting them will lower the risk for stroke in the future. It would be useful to know your age. These findings are frequent in the older population, but if you are young and without risk factors known then you should also be evaluated and tested for other rarer causes like inflammatory conditions, metabolic conditions, genetic inherited conditions etc. I hope to have been of help.