MRI done! What do these findings mean? A few faint punctate areas of nonspecific white matter change bilaterally in the corona radiate and centrum semiovale are present. The differential diagnosis is primarily one of minimal chronic microangiopathy/gliosis versus demyelination while infection including Lymes disease and vasculitis Are also possibilities. No evidence of acute ischemic change.
Few faint punctate areas of nonspecific white matter changes in brain may be due to many reasons.It may be due to ischemic changes,demyelination etc. White matter ischemic changes(decreased blood supply)typically involves small blood vessels.However demyelination,lyme disease,post traumatic changes should also be ruled out with follow up scan. You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. If there is any more physical problems then it should be treated.
Get well soon. Hope i have answered your query.
Take Care Dr.Indu Bhushan
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