What does an MRI finding of mild cerebral atrophy suggest?

Hello doctor,

Diffusion-weighted images, ADC maps, and postcontrast sequences were also performed.

Findings:

There is mild cerebral volume loss and ex vacuo dilatation of ventricular system. There are scattered punctate foci of increased signal intensity within the periventricular and deep subcortical white matter on the T2/flair sequences which are nonspecific. However, they are most likely secondary to chronic small vessel disease. There is no evidence of restricted diffusion to suggest an acute infarct, midline shift or mass effect. There are no blood products on the gradient-echo images.

Normal intracranial flow-voids are seen.

The visualized paranasal sinuses are clear.

There is no pathologic enhancement identified.

Degenerative changes are noted within the upper cervical spine.

Impression:

1. No acute intracranial process.

2. Mild cerebral atrophy and mild chronic small vessel disease.

3. No pathologic enhancement identified.

What should I do and how concerned should I be? I am 70 years old and my BP and cholesterol are controlled. How concerned should I be?

Thank you doctor,

I have BPH. Should I be fine? Is mild BPH normal for the age of 70? My gait, etc., are perfect. I play tennis. I do have a migraine. Prednisone and Imitrex have not reduced it. I take Cymbalta 60 mg two times a day. I have a mild persistent headache.

Hi doctor,

Thank you so much for help.

Thank you doctor,

Is my level of small vessel disease normal for the age of 70? Can I avoid dementia and Alzheimer’s disease?