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MRI showed acute infraction, brain atrophy, microvascular ischemic disease. Your impression?

FINDINGS; THIS IS ABOUT MY HUSBAND. HAD AN MRI IT SAID THAT THERE IS NO RESTRICTION DIFFUSION TO INDICATE ACUTE INFRACTION. THERE IS BRAIN ATROPHY AND CEREBRAL WHITE MATTER MICROVASCULAR ISCHEMIC DISEASE. THERE IS A LARGE SELLAR MASS, WHICH IS ESSENTIALLY ISOINTENSE TO GRAY MATTER ON BOTH T1 AND T2-WEIGHTED IMAGES. THE LESION MEASURE 2.8*2.3CM, NOT SIGNIFICANTLY CHANGED FROM PREVIOUS EXAM. THERE IS PERSISTENT ELEVATION OF THE OPTIC CHIASM DUE TO THIS MASS. THE SINUSES AND MASTOLD AIR CELLS ARE CLEAR. PLEASE GIVE ME YOUR IMPRESSION IN ENGLISH. D. JOHNSON
Asked On : Mon, 2 Jul 2012
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Radiologist, Interventional 's  Response
Hi
your husband's MRI report says two things....
One- he has a tumor, which apparently had been present earlier too and is unchanged, but is pressing upon an important structure called the optic chiasm (it takes part in vision)
second - he has disease of the blood vessels of the brain...usually seen in high blood pressure, diabetes,smoking, high cholesterol...
consult a neurosurgeon for the first, and consult a neurologist for the second, for which a thorough physical examination and some lab tests would be recommended
take care
Answered: Mon, 23 Jul 2012
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