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What does my MRI scan report indicate?

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Posted on Tue, 1 Dec 2015
Question: in layman terms what is
trivial bilateral subcortical left anterior internal capsule white matter disease

hx: migraine, concussion x2, memory loss, hyperintensive anxiety, diabetes type 2, small vessel disease, nausea

concussion- hit in the head with a heavy metal trash compactor door 5 years ago
platform bed frame slipped and hit on head-same spot 1 month ago

age: 34 female
doctor
Answered by Dr. Neeraj Kumar (20 minutes later)
Brief Answer:
brain changes due to enumerated multiple risk factors

Detailed Answer:
Hello 0000xxxxxxxx,
I have gone through your query and understand your concerns.
The MRI report is suggesting involvement of white matter of brain focally and small in size.
In view of diabetes , hypertension, small vessel disease , head injury and migraine such a finding is not uncommon.
You should get some routine blood testing like vitamin B12, thyroid profile, urea creatinine, lipid profile and immune profile (ANA and ENA).
You can upload the mri images in pdf format also .
For prevention of progression and treatment you should control blood pressure, diabetes and supplement any deficiency if found in blood investigations.
You can visit and consult a neurologist for examination and detailed evaluation.
Hope you found the answer helpful.
Do get back with further queries.
regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Neeraj Kumar (38 minutes later)
I guess I'm more concerned because my brother passed at 18 years old with a brain infection from meningitis. I'm more sensitive in this area of that makes sense. How progressive does this disease get? Is it a harmless disease? I'm a mom of a 10 year old. Just want to understand that's all. I appreciate your time. Can this disease kill me is what I'm worried about to be honest.
doctor
Answered by Dr. Neeraj Kumar (18 minutes later)
Brief Answer:
Related to diabetes and hypertension

Detailed Answer:
Hello dear,
The abnormalities in brain are not primary and you need to control other more important related and causative conditions like diabetes and hypertension.
You should visit and consult with a neurologist for examination and investigation as advised.
please upload images.
It doesn't seems to be any rapidly progressive disorder.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Neeraj Kumar (3 hours later)
Thank you so much. Making me feel alot better about this. But I guess it is something I really need to control through my other issues. People who have the white matter disease are able to have a normal life in fun, etc, working? Alot of people don't know about small vessel disease either. Recently diagnosed by my nephrology doctor with renal hypoplasia. I appreciate the time you are taking to answer my 20 questions.
doctor
Answered by Dr. Neeraj Kumar (5 hours later)
Brief Answer:
Consult a neurologist and an immunologist too

Detailed Answer:
Hello ,
The usual prognosis is good as far as risk factors are controlled well.
But in my opinion you need to consult and visit a neurologist or immunologist for detailed workup of small vessel disease as renal hypoplasia with brain changes need diagnostic evaluation.
Immunologist opinion will be helpful for diagnosis.
regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Neeraj Kumar

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Practicing since :2006

Answered : 2263 Questions

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What does my MRI scan report indicate?

Brief Answer: brain changes due to enumerated multiple risk factors Detailed Answer: Hello 0000xxxxxxxx, I have gone through your query and understand your concerns. The MRI report is suggesting involvement of white matter of brain focally and small in size. In view of diabetes , hypertension, small vessel disease , head injury and migraine such a finding is not uncommon. You should get some routine blood testing like vitamin B12, thyroid profile, urea creatinine, lipid profile and immune profile (ANA and ENA). You can upload the mri images in pdf format also . For prevention of progression and treatment you should control blood pressure, diabetes and supplement any deficiency if found in blood investigations. You can visit and consult a neurologist for examination and detailed evaluation. Hope you found the answer helpful. Do get back with further queries. regards Dr Neeraj Kumar Neurologist