I recently had an MRI of my brain. Can someone help me on understanding it? IMPRESSION: 1. No evidence of acute intracranial process. No evidence of acute ischemia or infarction. 2. There are scattered, nonspecific bihemispheric subcortical and periventricular white matter foci. The differential diagnosis includes early microvascular disease, focal demyelinating disease, remote inflammation/vasculitis and sequela of chronic migraine headaches. 3. No evidence of abnormal leptomeningeal or parenchymal enhancement.
I should frame your message. This is probably the most common MRI report that we receive from radiologists and, you are correct, it is not very helpful. To really interpret your MRI findings accurately requires a better appreciation of your case. For instance "non specific white matter foci” means one thing in a 20-30 year old and entirely different thing is someone over 50.
We would be happy to review your MRI scan but may not be able to shed further light on the diagnosis without knowing a lot more about your case.
Revere (Rip) Kinkel MD
Professor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego
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