Hi,
Thanks for writing in.
Your MRI scan brain findings are explained below.
FINDINGS:
1. The ventricles are of normal size, shape, and contour for the patient s age. There are several (approximately 6-7) scattered punctate foci of T2 FLAIR hyperintensity involving the periventricular and subcortical
white matter. The largest is a periventricular focus in the left
frontal lobe measuring approximately 4 mm in diameter (axial FLAIR image 22). These foci are nonspecific, and slightly greater than expected for the patient s age.
This shows possible
small vessel disease. It is expected in the elderly age group but there is a mention that having 6 to 7 such lesions is slightly more than usual. These findings can occur earlier in
hypertension and diabetes and if you do not have these conditions, other disease involving cerebral vasculature must be thought of.
2. No evidence of acute
intracranial hemorrhage, edema, or
hydrocephalus. There is no mass effect or midline shift. Diffusion weighted imaging reveals no diffusion restriction to suggest acute
infarction. The visualized skull base and calvarium demonstrate no significant abnormality.
This details that there is no sign of acute stroke like episode and the findings are more of a non stroke origin.
In conclusion, the above findings are indicative of microangiopathic changes in small vessels in brain. These are non specific and can cause symptoms like migraines, vertigo and slight fogginess related problems. A repeat MRI scan brain might be required in 6 months to a year if there is sudden progressive symptoms from the ones you are having. Medications might be given to preserve your brain microangiopathic changes and reduce the symptoms.