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What Does "scattered Subcortical Nodular Foci Measuring 3mm" Mean In An MRI?

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Posted on Fri, 16 May 2014
Question: MRI results, scattered subcortical nodular foci measuring 3mm or less in the subcortical white matter overlying the frontal lobes bilaterally. What does this mean?
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Answered by Dr. Indu Kumar (23 minutes later)
Brief Answer:
Mostly these are the ischemic changes.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

In MRI,FLAIR or T2 weighted hyper intensities less than five in number in white matter of brain can be ignored.
Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,Lyme's disease should also be ruled out with follow up scans.Diabetes mellitus also aggravates the situation.
Hyper intensities more than five in number should be the cause of concern and it need investigations.

You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
If there is any physical problems then it should be treated.

Get well soon.
Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does "scattered Subcortical Nodular Foci Measuring 3mm" Mean In An MRI?

Brief Answer: Mostly these are the ischemic changes. Detailed Answer: Hello XXXX Thanks for writing to HCM In MRI,FLAIR or T2 weighted hyper intensities less than five in number in white matter of brain can be ignored. Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,Lyme's disease should also be ruled out with follow up scans.Diabetes mellitus also aggravates the situation. Hyper intensities more than five in number should be the cause of concern and it need investigations. You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. If there is any physical problems then it should be treated. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX