Hi, Based on the information you have provided, the MRI test results for your mother indicate that there are areas of brain damage in the right basal ganglia and left caudate areas. Additionally, there are ischemic foci in the cerebral and cerebellar regions, which suggest that your mother may have experienced a stroke or a series of mini-strokes. The presence of age-related cortical brain involutional changes is a normal finding in older adults and refers to a natural process of brain shrinkage that occurs as we age. However, it may also contribute to cognitive decline, which could be a contributing factor to your mother s lack of concentration and memory troubles. It is difficult to predict how your mother s condition will progress without a thorough evaluation and ongoing medical follow-up. However, it is possible that her symptoms could worsen over time, especially if there are underlying conditions such as high blood pressure, diabetes, or high cholesterol that are not well controlled. As for medication, it would be best for your mother to consult with a qualified healthcare provider to determine the appropriate treatment options for her specific condition. Alzheimer s medication is not typically prescribed for patients with vascular dementia, which is a type of dementia caused by blood vessel damage in the brain, but it may be recommended for other types of dementia. It is important to note that there is no cure for dementia, but early intervention and appropriate management of underlying medical conditions can help slow the progression of symptoms and improve quality of life. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician