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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does There Is A Little Periventricular White Matter High Signal Which Is Non-specific Indicate?

I have recieved results for an MRI scan and due to my consultants holiday I am unable to get them explained to me. I would really appreciate knowing what the following means. There is a little periventricular white matter high signal which is non-specific. No mass lesion. Thank you in advance.
Thu, 6 Feb 2014
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Radiologist 's  Response
Hello
Thanks for writing to HCM

FLAIR or T2 weighted hyper intensities less than five in number in deep white matter of brain can be ignored.
Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,lyme disease,post traumatic changes should also be ruled out with follow up scans.
Hyper intensities more than five in number should be the cause of concern and it need investigations.
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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What Does There Is A Little Periventricular White Matter High Signal Which Is Non-specific Indicate?

Hello Thanks for writing to HCM FLAIR or T2 weighted hyper intensities less than five in number in deep white matter of brain can be ignored. Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,lyme disease,post traumatic changes should also be ruled out with follow up scans. Hyper intensities more than five in number should be the cause of concern and it need investigations. 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