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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Early Vascular Dementia In The Below MRI Report Suggest?

Hi,after undergoing an MRI examination of my brain, the following report was written: Technique: Axial:T1,T2, FLAIR,DWI/ADC Map. sagittal:T1&T1+C Findings: There is a qudrigeminal nodular fatty signal intensity changes. It measures about 1cm in biggest diameter. It does not cause obstruction. There are deep white matter,periventricular & subcortical U-fiber,high signal intensity nodules on T2WI&FLAIR sequences.They do not enhance on post contrast procedure. There are age inappropriate involutional changes. The cerebral ventricles are of normal size and symetrical with normal circulation of CSF. There are no signs of inreased intracranial pressure. The brain stem and cerebellum show no abnormal changes in signal characteristics. The sella and pituitary are normal,and parasellar structures are unremarkable. The cerebellopontine angle area appears normal on each side. The internal acoustic meatus are unremarkable. The paranasal sinuses show maxillary sinuses opacifiication with hypertrophied turbinate. Impression: Deep white matter,periventricular & subcortical U-fiber high signal intensities on T2WI&FLAIR sequencies: DDX:-Ischemic changes-Demyelination-Early vascular dementia.correlate with appropriate clinical history. Features of chronic rhinosinusitis. Incidental finding of quadrigeminal Lipoma. Kindly let me know what I can do about this situation Regards Francis.
Wed, 8 Apr 2020
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General Surgeon,  's  Response
Hello,

Any report evaluation has to be carried out in ileu of underlying symptoms and physical findings of the patient, however with limited information of only MRI report, I can suggest that:
- If the age of patient is above 70 years, definite changes are acceptable
- If the symptoms are of minor severity, it does not need specific attention
- If it is more extensive symptomatic, following may help:
@ Control of blood pressure
@ Control of blood cholesterol and obesity
@ Quit tobacco if consuming

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Does Early Vascular Dementia In The Below MRI Report Suggest?

Hello, Any report evaluation has to be carried out in ileu of underlying symptoms and physical findings of the patient, however with limited information of only MRI report, I can suggest that: - If the age of patient is above 70 years, definite changes are acceptable - If the symptoms are of minor severity, it does not need specific attention - If it is more extensive symptomatic, following may help: @ Control of blood pressure @ Control of blood cholesterol and obesity @ Quit tobacco if consuming Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon