Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does This MRI Report Of Brain Mean?

My mom did MRI recently in 07/2015 and findings are below. She is having intermittent memory loss. Is it bad per below report? INDICATION: Intermittent memory loss. COMPARISON: Brain MRI September 26, 2013. TECHNIQUE: Sagittal and axial T1, axial diffusion, FLAIR and T2-weighted images were obtained. Axial and coronal T1-weighted images were obtained of the brain with and without gadolinium enhancement. 10 cc OptiMARK was used. FINDINGS: There is mild to moderate generalized cerebral atrophy, physiologic for age. Mild ischemic changes are present in the subcortical and deep white matter of both cerebral hemispheres most numerous in the posterior frontal and parietal lobes on FLAIR and T2-weighting, consistent with chronic small-vessel disease. Isolated punctate ischemic change is present in the right pons. The basal ganglia and cerebellum are free of significant focal ischemic changes. No recent ischemic changes are seen on the diffusion-weighted images. No hemorrhage or extra-axial fluid collection. No mass. The corpus callosum appears normal. The pituitary gland is small and flattened in the floor of the sella turcica, consistent with partial empty sella. There is evidence of prior left cataract surgery. The paranasal sinuses are clear. There is moderate right mastoid fluid and mucosal thickening. The major arterial flow-voids appear normal at the base of the brain. The calvarium is unremarkable. The upper facial soft tissues are normal and symmetric. Following contrast injection, no abnormalities of intracranial enhancement are identified. IMPRESSION: 1. Chronic small-vessel ischemic changes are mild in the subcortical and deep white matter of both cerebral hemispheres and isolated in the right pons. 2. Small flattened pituitary in partial empty sella. 3. Mucosal thickening and fluid is moderate in the right mastoid. 4. No acute intracranial pathology. 5. Allowing for minor variation in partial volume averaging, no definite interval change is identified since September 26, 2013.
posted on Thu, 30 Jul 2015
Twitter Sun, 13 Sep 2020 Answered on
Twitter Tue, 15 Sep 2020 Last reviewed on
Report Abuse
Cardiologist 's  Response
Hello,

These findings are suggestive of small repeated strokes, possibly related to high blood pressure. For this reason, I would recommend taking daily baby aspirin. The small flattened pituitary gland, may be an incidental finding. But, I would recommend checking pituitary hormone levels (blood lab tests). The mucosal thickening and fluid in the right mastoid, it indicative of an infection in the right inner ear. I recommend consulting with an ENT specialist. You should discuss with your doctor on the above issues.

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

Regards,
Dr. Ilir Sharka, Cardiologist
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Does This MRI Report Of Brain Mean?

Hello, These findings are suggestive of small repeated strokes, possibly related to high blood pressure. For this reason, I would recommend taking daily baby aspirin. The small flattened pituitary gland, may be an incidental finding. But, I would recommend checking pituitary hormone levels (blood lab tests). The mucosal thickening and fluid in the right mastoid, it indicative of an infection in the right inner ear. I recommend consulting with an ENT specialist. You should discuss with your doctor on the above issues. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist