Patient's Query
Hello doctor,
I require assistance in interpreting the results of a brain MRA (magnetic resonance angiography). Here is a summary of the report. I have a past medical history of ADPKD (autosomal dominant polycystic kidney disease) and am currently taking Lisinopril.
Findings: Axial T2 sequences of the brain with a time-of-flight MR angiogram show a small area of signal change adjacent to the posterior aspect of the left lateral ventricle within the parietal periventricular white matter. There is likely a small amount of volume loss with slight ex vacuo dilation of the ventricle. The etiology is nonspecific, but the finding appears longstanding. The remainder of the brain appears normal. The ventricles and extra-axial CSF (cerebrospinal fluid) spaces show normal appearances. No evident diffusion abnormality is observed. The time-of-flight MR angiogram does not demonstrate any aneurysm or intracranial vascular abnormality.
Conclusion: A small, nonspecific area of white matter signal change behind the lateral ventricle in the left parietal lobe appears longstanding. No intracranial aneurysm or further abnormalities are noted.
Please suggest.
Hello,
Welcome to icliniq.com.
I understand your concern.
First and foremost, I would like to understand why an MRA with TOF (time-of-flight magnetic resonance angiography) was chosen. I would also like to know what symptoms you are currently experiencing. If you have the images available, I would appreciate the opportunity to review them. The findings are general and do not appear concerning. These types of findings can sometimes be observed in clinically healthy individuals.
Thanks and regards.
Patient's Query
Hello doctor,
Thank you for the reply.
I have the report, but I do not have the images at this time. I underwent an MRA to rule out intracranial aneurysms because I am at high risk for them due to my polycystic kidney disease. Additionally, my nephrologist recommended checking for aneurysms despite my age, as I compete in heavy weightlifting. I do not have any specific symptoms, though I have had depression for much of my life, and I was told that it can sometimes be linked to brain injury.
I have experienced two major head traumas in my life. The first was when I fell backward from a table onto a tiled or concrete floor at the age of three. The second was when I was fourteen and had a skiing accident, in which I broke my shoulder and ribs and cracked my ski helmet.
I would like to know if the findings in the report are likely to cause any issues.
Please suggest.
Hello,
Welcome back to icliniq.com.
I understand the MRA with TOF was performed for screening purposes. The prolonged periventricular lesion detected on T2 may indeed be a minor demyelinating lesion, a small vascular abnormality, or gliosis, none of which are typically characteristic of post-traumatic brain injury, aneurysm, or tumor.
The size is also insignificant. Please send me the images whenever they become available. No aneurysms were found, which is a positive result. In the meantime, avoid smoking and exposure to secondhand smoke. It is also important to address depression—seeking help from a psychologist or psychiatrist can be beneficial.
Thanks and regards.
Patient's Query
Hello doctor,
Thank you for the reply.
Should I seek additional consultation with a neurologist in person, even without the images?
Hello,
Welcome back to icliniq.com.
No, I do not think it is necessary, as there are no significant brain issues. However, you can consult with the doctor occasionally if you experience any troubling symptoms.
I hope this helps you.
Thank you.
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Answered byDr. Florilyn Joyce Chulsi Bentrez
Medically reviewed byDr. Preetha. J
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