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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The MRI Indicate?

MRI shows greater than expected number of subcentimeter predominately subcortical and to a lesser extent deep white matter subcentimeter T2 hyperintensities. grater than expected for a 51 years old male. these could reflect sequelae of chronic small vessel ischemic disease. please help me understand what this mean. MRI was done because doctor said I have a concussion.
Wed, 3 Sep 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

T2 weighted hyperintensities in white matter or subcortical region of brain may be related to ischemic changes resulting from involvement of small blood vessels,demyelination,gliosis etc.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Proper treatment depend upon findings.

You also need follow up scan,it is necessary for ruling out demyelinating diseases. Demyelinating disease like MS are associated with many neurological findings,it should be clinically correlated.

Hope i have answered your query.
Take Care
Dr.Indu Bhushan
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What Does The MRI Indicate?

Hello Thanks for writing to HCM T2 weighted hyperintensities in white matter or subcortical region of brain may be related to ischemic changes resulting from involvement of small blood vessels,demyelination,gliosis etc. Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia. So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. Proper treatment depend upon findings. You also need follow up scan,it is necessary for ruling out demyelinating diseases. Demyelinating disease like MS are associated with many neurological findings,it should be clinically correlated. Hope i have answered your query. Take Care Dr.Indu Bhushan