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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This CT Scan Report Indicate?

My mom had a CT of her head done in September and I was looking at her report and it had something stated on it that I am confused over because no one has mentioned anything about it. Chronic microvascular ischemic disease in the subcortical and periventricular white matter , I don t understand why the ER doctor or her primary care doctor would not mention this to us. My mom is 79 years old and don t understand a lot of medical terms.
Tue, 24 Jul 2018
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The reason this finding was not discussed in detail (or at all) is because it's too common in the elderly and it's not a disease. It's rather damage sustained by her brain tissue due to atherosclerosis. It does cause functional decline of some degree but it's not a distinct medical entity. There is no particular treatment for that either. Other manifestations of atherosclerosis may require treatment. For example atherosclerotic plaques in the internal carotids or the coronary arteries or large peripheral arteries do require treatment. So in conclusion, although this is not a normal finding and it does mean that her brain has sustained some damage, it's not unusual for someone at her age.

Hope I have answered your query.
Let me know if I can assist you further.
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What Does This CT Scan Report Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The reason this finding was not discussed in detail (or at all) is because it s too common in the elderly and it s not a disease. It s rather damage sustained by her brain tissue due to atherosclerosis. It does cause functional decline of some degree but it s not a distinct medical entity. There is no particular treatment for that either. Other manifestations of atherosclerosis may require treatment. For example atherosclerotic plaques in the internal carotids or the coronary arteries or large peripheral arteries do require treatment. So in conclusion, although this is not a normal finding and it does mean that her brain has sustained some damage, it s not unusual for someone at her age. Hope I have answered your query. Let me know if I can assist you further.