HomeAnswersNeurologymri of brainCan several tiny t2 and flair signal abnormalities in my MRI report be due to head trauma?

Why are there several tiny t2 abnormalities within the subcortical white matter of the cerebral hemispheres?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Preetha. J

Published At November 23, 2021
Reviewed AtFebruary 15, 2023

Patient's Query

Hi doctor,

In a 31-year-old female with a height of 5.2 feet and a weight of 180 pounds, there are several tiny t2 and flair signal abnormalities predominantly within the subcortical white matter of the cerebral hemispheres in her MRI (magnetic resonance imaging) results. She is currently taking Estradiol (Estrogen) 2 mg.

Answered by Dr. Aida Abaz Quka

Hello,

Welcome to icliniq.com.

I read carefully your MRI report (attachment removed to protect patient identity) and would explain that these findings do not have clinical significance. They could be related to birth hypoxia or migraine. I would like to know the medical history of the patient. Does she suffer from headaches? Has she had any history of head trauma? I would just recommend a follow-up with brain MRI after a year to investigate the possible progression of these small brain lesions. I hope you will find this information helpful. I remain at your disposal in case of further questions whenever you need me.

Kind regards.

Patient's Query

Hi doctor,

Thank you for your reply.

She had head trauma at a young age but no migraines or seizures. She has hearing loss now.

Answered by Dr. Aida Abaz Quka

Hello,

Welcome back to icliniq.com.

Thank you for the additional information.

In such a case, I would conclude that these MRI findings have no clinical significance and could be related to the past head trauma. Anyway, I find it reasonable to follow up after a year with a brain MRI to investigate the possible progression of such changes. A specific disease called Susac Syndrome (autoimmune endotheliopathy) may relate to similar brain MRI findings and hearing loss. Anyway, you have no other symptoms, and the lesions are not acute (recent). So, a follow-up would be needed. I hope you will find this information helpful.

I would be glad to assist you further whenever you need me.

Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka

Neurology

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