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Dr. Andrew Rynne

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What Does this brain MRI Scan Result Mean?

.Had brain Mri.thereis old lacunae infarct within the mid left centrum semiovale white matter. The visualized orbits, paranasal sinuses, and mastoid air cells are unremarkable. ~impression~~1. Left temporal arachnoid cyst , as described . ~-2. Moderate chronic white matter changes which may be related to hypertension or small vaesel disease. Vasculitis, migraines, and multiple sclerosis are also on the differential. There is small old lacunar infarct of left centrum semiovale white matter
Mon, 13 Jul 2015
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Radiologist,  's  Response
Hello

There are chronic white matter changes in brain.It is generally due to ischemia.
Ischemic changes generally occurs in conditions like hypertension,altered lipid profile,diabetes mellitus,vasculitis etc.These conditions damage small blood vessels and this leads to ischemia.
So,you need screening of these conditions.It includes proper clinical examination and investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile.

You may need to take few medicines after evaluation.

However other causes may be demyelinating disease,migraine headache,edema etc.These conditions should also be ruled out and you may need follow up MRI to see progression of lesions.

There is also old lacunae infarct in mid left centrum semi-ovale .

There is also an incidental arachnoid cyst in left temporal region.It generally doesn't require any treatment.

Other findings like orbits,sinuses,mastoid air cells are normal.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does this brain MRI Scan Result Mean?

Hello There are chronic white matter changes in brain.It is generally due to ischemia. Ischemic changes generally occurs in conditions like hypertension,altered lipid profile,diabetes mellitus,vasculitis etc.These conditions damage small blood vessels and this leads to ischemia. So,you need screening of these conditions.It includes proper clinical examination and investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile. You may need to take few medicines after evaluation. However other causes may be demyelinating disease,migraine headache,edema etc.These conditions should also be ruled out and you may need follow up MRI to see progression of lesions. There is also old lacunae infarct in mid left centrum semi-ovale . There is also an incidental arachnoid cyst in left temporal region.It generally doesn t require any treatment. Other findings like orbits,sinuses,mastoid air cells are normal. Get well soon. Take Care Dr.Indu Bhushan