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MRI Showed Fluid Collection That Is Hypointense. What Should Be Done Next?

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Posted on Tue, 16 Apr 2013
Question: On a recent MRI of a 78 year old male it was noted that there was a fluid collection that is hypointense on T1 and flair sequence and hypertintense on T2 sequence, this measures approximately 7mm in maximum diameter cn you explain thank you
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Answered by Dr. Sudhir Kumar (16 minutes later)
Hi,

Thank you for posting your query.

First of all, I would like to reassure you that the MRI findings do not represent any serious brain disease.

The common causes of fluid collection in the brain are- 1. Old blood clot (lacunar infarct), resulting in gliosis (scar), 2. CSF collection (cerebro spinal fluid collection, as in cysts), 3. Abscess (infection).

The appropriate diagnosis would depend on patient's symptoms, and other findings on MRI (such as location, presence of swelling or any enhancement with contrast).

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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MRI Showed Fluid Collection That Is Hypointense. What Should Be Done Next?

Hi,

Thank you for posting your query.

First of all, I would like to reassure you that the MRI findings do not represent any serious brain disease.

The common causes of fluid collection in the brain are- 1. Old blood clot (lacunar infarct), resulting in gliosis (scar), 2. CSF collection (cerebro spinal fluid collection, as in cysts), 3. Abscess (infection).

The appropriate diagnosis would depend on patient's symptoms, and other findings on MRI (such as location, presence of swelling or any enhancement with contrast).

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad