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DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65266
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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My friend had an MRI of the brain. Impression: patchy foci

Resolved Question:

My friend had an MRI of the brain. Impression: patchy foci of increased T2 FLAIR signal are present within the periventricular white matter, likely microvascular disease.
What does this mean (no appointment requested to return to neurologist todate).
Submitted: 6 years ago.
Category: Medical
Expert:  DrRussMD replied 6 years ago.
this means that very small blood vessels in the white matter of the brain clotted or broke.
This can be due to hypertension, sometimes from aging but usually from high blood pressure.

;good luck

Let me know if you have further questions

Customer: replied 6 years ago.
Is this repairable? Is this related to a mini-stroke? How could this affect the cognitive thinking?
Expert:  DrRussMD replied 6 years ago.
It is not reparable.
One has to make sure the blood pressure is controlled.
It might not affect mental function at all, and on the other hand when it becomes extensive in the case of micro infarct [clotting] it can cause dementia.
Fight now this is not even to the level of stroke.
Good luck

Let me know if you have further questions

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