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What Does The Following Examination Mean?
Explain the following: no evidence of restricted diffusion to suggest acute territorial ischemia. Preventricular and subcortical white matter T2 prolongation is noted. No MRI evidence of blood products, midline shift, hydrocephalus or mass lesion. Imaged flow voids are unremarkable. no abnormal parenchymal enhancement. Mild pansinus diease.
Thu, 18 Jun 2015
Hello
Periventricular and subcortical white matter T2 prolongation may be due to ischemic( decreased blood supply and oxygenation due to involvement of small blood vessels)changes in white matter of brain.
Ischemic changes generally occurs in conditions like hypertension,altered lipid profile,diabetes mellitus,vasculitis etc.These conditions damage small blood vessels and this leads to ischemia.
So,you need screening of these conditions.It includes proper clinical examination and investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile.
You may need to take few medicines after evaluation.
However other causes may be demyelinating disease,migraine headache,edema etc.These conditions should also be ruled out and you may need follow up MRI to see progression of lesions.
Other findings related to brain are normal.
Findings also suggest mild sinusitis involving all sinuses.You may need ENT consultation.
Get well soon.
Take Care
Dr.Indu Bhushan
Periventricular and subcortical white matter T2 prolongation may be due to ischemic( decreased blood supply and oxygenation due to involvement of small blood vessels)changes in white matter of brain.
Ischemic changes generally occurs in conditions like hypertension,altered lipid profile,diabetes mellitus,vasculitis etc.These conditions damage small blood vessels and this leads to ischemia.
So,you need screening of these conditions.It includes proper clinical examination and investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile.
You may need to take few medicines after evaluation.
However other causes may be demyelinating disease,migraine headache,edema etc.These conditions should also be ruled out and you may need follow up MRI to see progression of lesions.
Other findings related to brain are normal.
Findings also suggest mild sinusitis involving all sinuses.You may need ENT consultation.
Get well soon.
Take Care
Dr.Indu Bhushan
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