ADVERTISEMENT

Q. What does this impression in my MRI mean?

Answered by
Dr. Mrinal Kumar Acharya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 09, 2022 and last reviewed on: Dec 23, 2022

Hi doctor,

I have recently taken MRI as I had flair signals and got the results. What does this Impression mean: No acute intracranial process. A few tiny subcortical white matter FLAIR hyperintensities are most notably in the frontal lobes. Appearance is nonspecific. A similar finding can be seen in the setting of chronic headache disorder. Recommend clinical correlation. I do not see any deep white matter and/or cavitary lesions, which would be more characteristic of old demyelination. Borderline Chiari I malformation with approximately 5 mm cerebellar tonsillar ectopia. Ventricles are nondilated. Please help.

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

I understand your concern.

Chiari malformation type 1 occurs when the section of the skull containing a part of the brain (cerebellum) is too small or is deformed, thus putting pressure on and crowding the brain. As a result, the lower part of the cerebellum (tonsils) is displaced into the upper spinal canal. The severity of Chiari malformations can vary from person to person, but generally, Chiari I malformations are not considered life-threatening. Focal hyperintensities in the subcortical white matter demonstrated by T2 FLAIR (fluid-attenuated inversion recovery) images are a common incidental finding in patients undergoing brain MRI (magnetic resonance imaging). They are common in older adult brains and associated with advanced age, high blood pressure, ischemic events, and other vascular risk factors, even without clinical symptoms.

I hope this helps.


The Probable causes:

chiari malformations small vessel diseases

Investigations to be done:

fbs lipid profile hba1c

Treatment plan:

follow up mri scan

Hi doctor,

Thanks for your reply. So does this mean I have Chiari 1, or am I borderline for it? Can these findings help for diagnosis with this MRI? Please help.

#

Hi,

Welcome back to icliniq.com.

I understand your concern.

Chiari malformation type 1 occurs when the section of the skull containing a part of the brain (cerebellum) is too small or is deformed, thus putting pressure on and crowding the brain. The lower part of the cerebellum (tonsils) is displaced into the upper spinal canal. The severity of Chiari malformations can vary from person to person, but generally: Chiari I malformations are not considered life-threatening. Focal hyperintensities in the subcortical white matter demonstrated by T2 FLAIR images are a common incidental finding in patients undergoing brain MRI. They are common in older adult brains and associated with advanced age, HTN, ischemic events, and other vascular risk factors, even without clinical symptoms. It is almost always an incidental finding. It is usually found during MRI scans done for different reasons and typically has no signs. Most people with the condition do not even know they have it unless it is incidentally discovered during a diagnostic imaging test. If you have pain, balance problems, sleep apnoea, and swallowing difficulty, I suggest you should visit a neurosurgeon for futher treatment if required.

I hope this helps.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
MRI says degenerative changes seen. Is any treatment required?

A lumbar brace can help too, coupled with physiotherapy ...   Read full

Please help with my visual disturbance and tingling.

 I would recommend you an MRI brain scan with spinal screening ...   Read full

MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?

.. you attach the MRI images and upload it so that I can see it? For more information consult a spine health specialist online --> .. ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Impact of COVID-19 on Female Sexual Health
Women have been affected and still face the consequences of Coronavirus on their sexual health. Read more about the impa...  Read more»
Carpal Tunnel Syndrome in Pregnancy
Carpal tunnel syndrome in pregnancy occurs when a nerve supplying the hand is compressed at the forearm level due to the...  Read more»
Breaking the Link-Irritable Bowel Syndrome and Bacterial Overgrowth
A surplus of bacteria in the intestine causes irritable bowel syndrome (IBS). Read the article below to know more about ...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.