iCliniq Logo
HomeAnswersNeurologymri of brain

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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.

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.

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.

Medically reviewed byDr. Preetha. J

Published At November 23, 2021
Reviewed AtJune 20, 2024

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

Listen to related tracks in our music library

Ask your health query to a doctor online

*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.