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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My MRI Report Indicate?

I participated in a study at Mayo. I have received a letter with the results and have scheduled an appt. with my primary care provider. Until then, I would appreciate help in understanding the results. Doesn't sound good to me. My MRI findings state: Mild generalized cerebral and cerebellar volume loss without evidence of focal atrophy. No evidence of disproportionate hippocampal volume loss. Scattered nonspecific foci of T2 signal hyperintensity within cerebral white are most consistent with mild-to-moderate microvascular ischemic disease or leukoaraiosis.
Mon, 22 Dec 2014
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Neurologist,  's  Response
I read your question and I understand your concern.

The results of that MRI (or any test) should be correlated to the patient and his symptoms.
How significant those findings are depends on your age. Certainly they indicate nothing life threatening. If you are over 65 I would say it's to be expected to have some cerebral volume loss, we all lose some percentage of brain volume over the years and as the years amount it will show up on MRI. So if you have no other symptoms don't worry much about it. If you are say 20, then you should be evaluated by a neurologist for a neurodegenerative disease.
As for microvascular changes, again are found at a certain age, should pay attention to factors affecting blood vessels like high blood pressure, diabetes, smoking, obesity, high cholesterol and treat them in order to slow down the process.

I hope to have been of help.
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What Does My MRI Report Indicate?

I read your question and I understand your concern. The results of that MRI (or any test) should be correlated to the patient and his symptoms. How significant those findings are depends on your age. Certainly they indicate nothing life threatening. If you are over 65 I would say it s to be expected to have some cerebral volume loss, we all lose some percentage of brain volume over the years and as the years amount it will show up on MRI. So if you have no other symptoms don t worry much about it. If you are say 20, then you should be evaluated by a neurologist for a neurodegenerative disease. As for microvascular changes, again are found at a certain age, should pay attention to factors affecting blood vessels like high blood pressure, diabetes, smoking, obesity, high cholesterol and treat them in order to slow down the process. I hope to have been of help.