The above includes what was the first line written under "impressions" on my radiology report related to an MRI done w/o and with Contrast which I was given recently. I'm going to see my neurologist today, but can tell you what I know now. The doctors I've spoken with so far expressed concern, then some calming words such as, "the report wasn't conclusive," as the radiologist had included a number of possible reasons for the results. However, I've since read the fact I had an MRI six years ago during which this foci was not present, this presents a problem. The fact the foci is in the periventricular area typically suggests a diagnosis of Multiple Sclerosis. However, my neurologist ask to look at the films himself, to confirm this foci or lesion, is new. If it is indeed a new lesion, this signifies a diagnosis of either Multiple Sclerosis or another demyelinating disease. (Note: I had a "small foci" of "abnormal T2 Flair" rather than being scattered. )
This finding typically indicates small areas of increased fluid content in the brain's white matter, usually due to conditions like small vessel disease or microvascular ischemia. Further evaluation may be needed to determine the specific cause and significance of these hyperintense foci.
A low density area in the subcortical white matter of the left posterior parietal lobe could indicate a region of decreased cellularity or myelin loss. This may be associated with conditions such as demyelinating diseases, vascular damage, or other pathologies affecting the white matter in that specific brain region. Further investigation with clinical correlation is necessary to determine the underlying cause.
Cortical is a word referring to the cortex, so the subcortical region of the brain is literally 'anything beneath the cortex'; but, since the brain isn't arranged in flat layers, it may be easier to visualise this analogy: If you picture the brain as being half an orange, the outer skin (the zest) would equate to the grey matter of cerebral cortex, & the inner skin (the pith) to the white matter; everything else (the pulp & the pips of the orange) represents the subcortical structures, which include various ventricles & nuclei, the thalamus, hypothalamus, cerebellum, & the parts that make up the brainstem. Subcortical pathways enable fast, unconscious reactions; so a reflex is a subcortical action.
the cerebral neurons are housed in the cerebrums outer region called the CEREBRAL CORTEX
The cell bodies of neurons, primarily. Although there may be supporting cells called glial cells and small blood vessels called capillaries. This is as opposed to white matter which contains mainly myelinated axons and does not contain the cell bodies of neurons.
what does this mean? Impression: There are scattered foci of T2/FLAIR hyperintensity within the periventricular, deep and subcortical white matter. The findings are nonspecific but may be seen in mild to moderate small vessel ischemic changes. No evidence for acute infarct or hemorrhage.
The periventricular white matter is located around the ventricles of the brain, primarily surrounding the lateral ventricles, while the subcortical white matter is found beneath the cerebral cortex of both cerebral hemispheres. These regions are crucial for communication between different brain areas, facilitating the transmission of signals. The periventricular white matter contains important pathways involved in various functions, whereas the subcortical white matter connects cortical areas with deeper structures and plays a role in motor control and cognitive processing.
Mild diffuse cerebral and cerebellum volume loss and T2 hyperintensity within the periventricular white matter refers to a stroke. This can cause a slight decrease in the white matter of the brain.
Small hypo densities are seen in bilatereral para ventricular region
Nonspecific foci of T2 prolongation in subcortical and periventricular white matter can be caused by a variety of conditions such as small vessel ischemic disease, chronic microvascular changes, demyelination, or inflammatory processes. It is commonly seen in conditions like small vessel disease, migraine, or chronic microvascular changes related to aging. Further evaluation may be needed to determine the exact cause in each individual case.
This phrase is a statement that would be used by a radiologist when reviewing the results from a MRI. Breaking down the phrase by individual parts:T2 - An indication of the type of scan that was done. In a T2-weighted scan, areas that are fluid-filled appear bright, while areas that are fatty appear dark. A T1 scan would show the opposite results.Hyperintensity - An indication of a bright region on the scan.Foci of T2 Hyperintensity, therefore, means "focal points, or concise areas, of very bright spots."Subcortical and periventricular white matter - These are locations within the brain. Regions of the brain are categorized by color (white matter or grey matter) and location (cortical, or related to the cortex, subcortical, or below the cortex, etc).The statement, therefore, means "white spots on a MRI scan at certain locations within the brain."This statement alone does not indicate any particular disease is present. It is a piece of information that a neurologist would use to help determine whether or not someone had a certain disease or condition. There are many conditions or diseases which can cause white spots on the brain; only a neurologist can sort through the possibilities and determine what caused these white spots.
Scattered flair hyperintensity involving subcortical white matter refers to areas of increased signal intensity observed on FLAIR (Fluid-Attenuated Inversion Recovery) MRI sequences, indicating changes in the brain's white matter. This finding can be associated with various conditions, including small vessel disease, demyelination, or other types of brain pathology. It may suggest the presence of lesions, inflammation, or other forms of injury affecting the white matter pathways. Clinical correlation and further evaluation are typically necessary to determine the underlying cause and significance of these findings.
Punctate areas of increased signal in the periventricular and subcortical white matter of both hemispheres typically indicate the presence of small vascular lesions or microangiopathic changes, often associated with chronic small vessel disease. These findings can be seen in conditions such as hypertension, diabetes, or aging, and may correlate with cognitive changes or other neurological symptoms. Further clinical correlation and imaging evaluation are essential for an accurate diagnosis and management.
Punctate subcortical T2 hyperintensity foci refer to small, bright spots observed on T2-weighted MRI scans of the brain, typically located in the subcortical white matter. These hyperintensities can indicate various conditions, including small vessel disease, demyelination, or other forms of brain pathology. They are often associated with age-related changes and may correlate with cognitive decline or vascular risk factors. Clinical significance depends on the context and associated symptoms.
The ICD-10 code for periventricular white matter lesion is I69.819.
T2 hyperintensity in the left temporal subcortical U fibers refers to an area that appears brighter than normal on T2-weighted MRI scans, indicating increased water content or changes in tissue composition. This finding can suggest various conditions, such as edema, demyelination, or ischemia, affecting the white matter fibers in the left temporal lobe. It may be associated with neurological symptoms depending on the underlying cause and the extent of the changes observed. Interpretation should be made in the context of clinical findings and other imaging results.
Subcortical white matter lesions may be associated with cardiovascular disease. They may also be associated with multiple sclerosis, if the patient has other MS signs and symptoms.