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I had mri with scattered sub centimeter flair

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hyperintensities in the subcortal...
I had mri with scattered sub centimeter flair hyperintensities in the subcortal white matter of the bifrontal lives, nonspecific finding. Th differential considerations are wide and include a demyelination processes, possibly ischemic in setting of hypertension as well as inflammatory infectious and vascutilitic etiologies- what does this mean
Submitted: 7 months ago.Category: Neurology
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11/28/2017
Neurologist: drphophalia, Other replied 7 months ago
drphophalia
Category: Neurology
Satisfied Customers: 38,721
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Neurologist: drphophalia, Other replied 7 months ago

Hello Cathi,

What are your symptoms for which MRI was ordered?

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Customer reply replied 7 months ago
Tingling and numbness from cheek to toes, headaches and pain in calves muscles
Neurologist: drphophalia, Other replied 7 months ago

What are your present medications?

Apart from hypertension do you have any other medical issue like diabetes?

Any significant family history?

Do you smoke or use tobacco in any form?

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Customer reply replied 7 months ago
I don't have hypertension
I have hypothyroid and take synthroid and neurotic
I do not smoke
My father has heart disease
Customer reply replied 7 months ago
Neurotin misspelled above
Neurologist: drphophalia, Other replied 7 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Customer reply replied 7 months ago
I had vertigo in the pasr
Neurologist: drphophalia, Other replied 7 months ago

Few observations;

1) MRI is an highly sensitive medical imaging which catch even subtle changes in the brain. Many times these changes do not have clinical significance. The software detects slightest of the change from normal.

2) The ischemic changes are decrease in the blood supply. This is a normal part of aging and would be seen in almost 20% of your age group.

3) Medical imaging are inferred in the context of symptoms, signs, physical exam findings, history, lab investigations and other medical imaging. MRI findings alone may not be conclusive for diagnosis.

You may ask your doctor to get an MRA magnetic resonance arteriography) for the assessment of the arteries of the brain. But overall your changes do not indicate anything serious or significant.

You may get the blood work for autoimmune disorders if not done for your symptoms. Thyroid antibodies too may be done.

Is this helpful to you?

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Neurologist: drphophalia, Other replied 7 months ago

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