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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My MRI Brain Scan Indicate?

IMPRESSION: I had an MRI and they found this:  Mild punctate FLAIR hyperintensities are demonstrated in the corona radiata and semiovale without evidence of mass effect, abnormal diffusion signal, or evidence of hemorrhagic contusion. These findings are nonspecific and may indicate entities such as demyelinating disease, vasculitis, migraine, or host of other entities including small vessel disease. If indicated, recommend MRI scan of the brain with and without for evaluation of possible activity.
posted on Mon, 13 Oct 2014
Twitter Tue, 20 Jan 2015 Answered on
Twitter Wed, 21 Jan 2015 Last reviewed on
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Your MRI scan shows that there are small white spots on MRI in the white matter which is described as multiple punctate FLAIR hyperintensities. This same feature can be seen in many conditions of the brain. There can be destruction of the nerve sheaths which is called as demyelination. There can also be inflammation of the blood vessels supplying the brain and this is called as vasculitis. Similar picture is also seen in migraines which cause headaches. High blood pressure and diabetes can also present with these features at an elderly age. Your age is not provided and your symptoms also are not known. The above conditions have to be considered with complete neurological clinical examination. You should discuss the probabilities with your neurologist to know the exact significance of these findings on MRI scan.
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What Does My MRI Brain Scan Indicate?

Hi, Thanks for writing in. Your MRI scan shows that there are small white spots on MRI in the white matter which is described as multiple punctate FLAIR hyperintensities. This same feature can be seen in many conditions of the brain. There can be destruction of the nerve sheaths which is called as demyelination. There can also be inflammation of the blood vessels supplying the brain and this is called as vasculitis. Similar picture is also seen in migraines which cause headaches. High blood pressure and diabetes can also present with these features at an elderly age. Your age is not provided and your symptoms also are not known. The above conditions have to be considered with complete neurological clinical examination. You should discuss the probabilities with your neurologist to know the exact significance of these findings on MRI scan.