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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does this MRI report of brain mean?

I am having moderate to severe short term memory loss. What does this report mean? Exam: MRI of the brain without contrast. Technique: MRI of the brain was performed in the sagittal and axial plane with T1, T2, gradient echo and FLAIR sequencing. In addition, diffusion axial images were taken of the entire brain. The ventricles are normal in size, shape and configuration. No shift of midline structures. No abnormal extra-axial fluid collections. There were scattered nonspecific foci of abnormal signal in the subcortical white matter of both cerebral hemispheres. Differential diagnostic considerations would include microvascular changes, demyelination, nonspecific posttraumatic or inflammatory gliosis and sequela from chronic migraines or seizures. There was no evidence of an acute territorial area of infarction or mass lesion. Flow void is seen in the carotid siphon and basilar artery tip indicating patency. The craniocervical junction is normal. No areas of restricted diffusion. The pituitary sellar dimensions are within normal limits. The mastoid air cells are well pneumatized. The IACs are normal. Mucosal thickening in the ethmoid and maxillary sinuses. Impression: 1. Nonspecific foci of abnormal signal within the subcortical white matter both cerebral hemispheres most likely early chronic ischemic microvascular changes in this age group. 2. Mucosal thickening in the ethmoid and maxillary sinuses.
Thu, 23 Jul 2020
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Internal Medicine Specialist 's  Response
Hi,

Ischemic change which might be multiple strokes in any case depends on the age and history. General causes of memory loss include:
- Strokes
- Neuro-degenerative conditions
- Alzheimer's disease
- Multiple types of dementia
- Vascular dementia
- B12 deficiency causes memory loss as well

My advice, take the image of the MRI as this is only the report, take the image and report and follow-up with a neurologist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Faris Radi, Internal Medicine Specialist
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What does this MRI report of brain mean?

Hi, Ischemic change which might be multiple strokes in any case depends on the age and history. General causes of memory loss include: - Strokes - Neuro-degenerative conditions - Alzheimer s disease - Multiple types of dementia - Vascular dementia - B12 deficiency causes memory loss as well My advice, take the image of the MRI as this is only the report, take the image and report and follow-up with a neurologist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Faris Radi, Internal Medicine Specialist