Why does my brain MRI show multiple small foci?

Question

Hello doctor,

Recently, I got an magnetic resonance imaging (MRI) of the brain done. The report says that there are multiple small foci of high signal mainly in the right peritrigonal white matter. Is that a risk? My doctor says that it happens in older people with blood pressure or diabetes. I have high prolactin of 385, but the normal should be 50 to 350. I am a smoker. Currently, I am taking Dostinex.

Answer 1

Hi,

Welcome to icliniq.com. What you have got often occurs among elderly with chronic illnesses or even without hypertension and diabetes. It does not mean that it cannot occur in the young person, but elderly are more affected. If you do not have any symptoms, then there is nothing to worry about these magnetic resonance imaging (MRI) found lesions. This is because it may occur as a normal finding in a person as young as 10 years. If there was any problem during the perinatal period (need to confirm from your mother), the lesions can be explained on that basis itself. There is nothing to worry as it is non-progressive and will not change (either positive or negative) in most of your lifetime. The symptoms on the basis of peritrigonal white matter area are slowness, thinking difficulty and poor cognition. We need to explore further the cause for these lesions as well as symptoms. Last but not the least, MRI report has no value if you have no details about the symptoms.