Hi, Let me explain you first the meaning of the MRI findings. 1. Asymmetric prominence of the flow void involving the left cavernous portion of the internal carotid artery - blood flow (moving blood) within the vessels is usually not seen on MRI. Black signal is noted instead. This holds true for any moving fluid. When the flows slows down, it becomes visible. The slower the flow, the better it is seen. This asymmetry means that the velocity of flow inside the 2 carotids is not the same (one is slower than the other or the one is faster than the other if you will). Your neurologist will take care of this finding. If necessary, he/she will refer you further to another specialist (e.g. interventional radiologist, or vascular specialist). 2. Minimal signal in the right mastoid air cells suggestive of debris and or fluid - the mastoid air cells (that are behind the ears), as the name suggests, should contain air. If there is fluid or debris inside, this may indicate current or previous inflammation. This can be taken care of by your neurologist as well or an ENT specialist. 3. Few nonspecific foci of hyperintense T2 signal in the white matter of the frontal lobes bilaterally - this is purely neurological issue. These foci can be something benign and innocent (most probably in your case) or may indicate a condition that requires serious attention. I cannot tell you what exactly they are as I do not know your clinical symptoms. In conclusion, your first place to go is the office of your neurologist. If required, you will further be referred to other specialist. Kind Regards,