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What Does "Tiny Nonspecific T2/FLAIR Hyperintense Foci Are Seen" Mean?

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Posted on Tue, 6 May 2014
Question: Hi, Could you please explain my MRI results in simple plain English so that I can understand what this means? Thanks very much... Please explain what this means regarding my mri results....Tiny nonspecific T2/FLAIR hyperintense foci are seen in the subcortical location in the left anterior parietal lobe as well as the high right frontal lobe deep white matter - entirely non-specific. Impression: Somnewhat unusual distribution of small T@/FLAIR hyperintense lesions in the periventricular, deep and subcortical white matter of the left anterior frontal lobe. This is somewhat nonspecific and it could possibly represent sequel of a prior non-hemmorhagic traumatic insult, given the history, although vascular and inflammatory causes are certainly not completely excluded. There is no evidence of pripr intracranial hommorhagic lesion. How would I know how this will affect me over the years? Anything I should know? When to call a doctor? If it is an emergency, how will I know? Thanks very much for your help...Renata
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Answered by Dr. Vaddadi Suresh (2 hours later)
Brief Answer: Nothing to worry. Detailed Answer: Hi XXXX, A word to word interpretation probably confuses you. I would summarize the gist which is important for you to learn. The radiologist opined that because of your head trauma, small clots have appeared in some regions of brain, but he was not sure. There is also a possibility that they are unrelated to your trauma, in which case they represent clots formed due to reduced blood supply to brain or due to some consequence of infection. Overall, the radiologist was not sure what they were. These types of interpretations are commonly seen everywhere and we can not blame the radiologist as it is only imaging (shadows) and only that much can be told. What ever the case may be, those lesions are likely to fade away with time, and you should see no sequel. It is certainly not an emergency and a leisure consultation with a neurologist is all that you require. Hope i am clear.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vaddadi Suresh (2 hours later)
I did see a neurologist in XXXXXXX BC Canada Dr. Atwell-Pope. She said I have a traumatic brain injury with lesions which was most likely caused by blunt force trauma to the head during childhood, my father was strict and hit me in the head when I could not tell time in his Croatian Language at 6 years old... In 1997 I was in a car accident and passed out and my neurologist said it was a stroke in the brain since I went into shock. Then in 2003 I got rear ended by a semi truck following too close down a hill...and went into a spin and landed in a no left turn XXXXXXX .. My neurologist said it was multiple concussions that caused my traumatic brain injury and could have started out in my childhood abuse. She also mentioned I have severe inflammation, secondary fibromyalgia and they thought it was Shogrens Syndrome so they did blood tests and said I have an autoimmune deficiency that may be caused by inflammation so they ruled out the Shogrens Syndrome and said it could possibly be from inflammation from my severe osteoarthritis or secondary fibromyalgia but they don't know what it is... It has been since 1997 that my car accident happened and it is years later and the lesions still showed up in the MRI very clearly, the neurologist at the hospital said it is serious in my frontal lobes which affects my memory, concentration, organizing, processing and emotions. I also have been diagnosed with PSTD and ADHD. What do you think about all this? Can I get your opinion? What testing should I get done besides an MRI? I have major headaches and have a hard time coping emotionally and am physically exhausted and have chronic pain. I try and eat well and do get exercise but I am still not feeling good all the time...fatigued, in pain and headaches...I am seeing a neuropsychiatrist, Dr. XXXXXXX Gheis at the Outpatient Neuro Rehab in XXXXXXX BC at XXXXXXX General Hospital and he has prescribed me on the following medications, Seroquel, fluoxetine, dexydrine and now Lorazepam... Please give me your opinions and suggestions on this information. It's greatly appreciated...I forgot to mention I have severe cognitive deficits...unable to retain information and have a hard time keeping a job. Thanks, XXXX
doctor
Answered by Dr. Vaddadi Suresh (13 hours later)
Brief Answer: features fit into "postconcussion syndrome". Detailed Answer: hi, your features fit into "Postconcussion syndrome". There is little scope in further testing and this is not going to provide additional information. You are presently under good treatment. it is a matter of time and the response may be slow. The treatment is purely symptomatic comprising of addressing the anxiety, headaches, fatigue and pain. however, a few suggestions: 1.you may try Sumatriptan which may work fine for some people. 2.A vestibular drug like Betahistine may help. 3. L-Huperazine might offer some help in cognitive function. All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Vaddadi Suresh

Internal Medicine Specialist

Practicing since :2003

Answered : 963 Questions

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What Does "Tiny Nonspecific T2/FLAIR Hyperintense Foci Are Seen" Mean?

Brief Answer: Nothing to worry. Detailed Answer: Hi XXXX, A word to word interpretation probably confuses you. I would summarize the gist which is important for you to learn. The radiologist opined that because of your head trauma, small clots have appeared in some regions of brain, but he was not sure. There is also a possibility that they are unrelated to your trauma, in which case they represent clots formed due to reduced blood supply to brain or due to some consequence of infection. Overall, the radiologist was not sure what they were. These types of interpretations are commonly seen everywhere and we can not blame the radiologist as it is only imaging (shadows) and only that much can be told. What ever the case may be, those lesions are likely to fade away with time, and you should see no sequel. It is certainly not an emergency and a leisure consultation with a neurologist is all that you require. Hope i am clear.