Get E-Book on COVID-19

Q. Kindly look at my brain MRI and explain.

Answered by
Dr. Chitrangada
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Aug 07, 2019

Hello doctor,

I had an MRI of the brain and received the following finding: Questionable punctate area of altered signal gray-white matter interface left parietal lobe. What does that mean?

Dr. Chitrangada

Radiodiagnosis Radiology
#

Hi,

Welcome to icliniq.com.

Punctate areas could indicate many things like hemorrhage, chronic infarct, etc. Can you please mention a few things? What was the indication for MRI? In the report, they must have mentioned the area to be T2W hyperintense or hypointense, better if you can share a copy of the report. I will be glad to help. Take care.


Was this answer helpful?

 | 

Thank you doctor,

I would like to know the meaning of the bottom two findings in the report that I have attached.

Dr. Chitrangada

Radiodiagnosis Radiology
#

Hi,

Welcome back to icliniq.com.

Thanks for sharing the report (attachment removed to protect patient identity). These punctate areas in the left parietal lobe can be concerning for small vessel or lacunar infarcts. The second impression showing volume loss of the hippocampus is a sign of mesial temporal sclerosis which is associated with a seizure disorder and needs clinical correlation. If you have any difficulty please feel free to discuss. Take care.


Was this answer helpful?

 | 

Thank you doctor,

Can you please explain in simpler terms? Should I be concerned? I was in a MVA14 years back and suffered a TBI, as a result, three years back I was diagnosed with epilepsy. Could this explain the second finding?

Dr. Chitrangada

Radiodiagnosis Radiology
#

Hi,

Welcome back to icliniq.com.

The second finding is a disease entity which is seen in epilepsy. These findings do not need any active or surgical intervention. These would be more or less constant and would not change with time. Therefore, I feel that considering the report, you just need to continue with the medication regimen. Take care.


Was this answer helpful?

 | 

Thank you doctor,

What does this mean (These punctate areas in the left parietal lobe can be concerning for small vessel or lacunar infarcts) in simpler terms? Should I be concerned?

Dr. Chitrangada

Radiodiagnosis Radiology
#

Hi,

Welcome back to icliniq.com.

It refers to abnormal focal area which is due to small vessel infarct.


Was this answer helpful?

 | 

Thank you doctor,

But what does that mean?

Dr. Chitrangada

Radiodiagnosis Radiology
#

Hi,

Welcome back to icliniq.com.

There is nothing in your scan that requires immediate attention.


Was this answer helpful?

 | 

Thank you doctor,

It just worried me.

Dr. Chitrangada

Radiodiagnosis Radiology
#

Hi,

Welcome back to icliniq.com.

It is okay to be worried, just that once you know how to deal with it you would be sorted.


Was this answer helpful?

 | 

Related Questions:
Is PET scan necessary for epilepsy diagnosis?
MRI of which body parts will best reveal spondyloarthropathy?
How can I prevent my childhood epilepsy from resurfacing?
Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?

Query: Hello doctor,My mother aged 55 years got an MRI with an observation of 'intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus re...  Read Full »

MRI shows stroke and brain changes. Is it due to untreated sleep apnea?

Query: Hello doctor, The patient underwent extensive routine physical examination including MR/CT imaging and laboratory analysis earlier this month. The MR Brain shows evidence of lacunar stroke and ischemic brain changes. Please advise if these might be connected to untreated obstructive sleep apnea (mor...  Read Full »

Is it necessary to be on epilepsy medication when it is ruining one's life?

Query: Hi doctor, My partner was diagnosed with epilepsy seven years ago. Since then, she has had three convulsive seizures but has not had any in the past five years. She is 21 and currently on 100 mg of Epilim day and night. She had an EEG three months ago which resulted in abnormal brain activity but n...  Read Full »

Also Read


Can naked body to body massage spread HIV?
Hello doctor, I recently had some business trip during which I had some naked body to body massage wherein massager vag...  Read more»
Are COVID-19 Patients Infectious for up to 90 Days After Recovery?
There have been reports of recovered COVID-19 patients getting reinfected and testing positive for almost 3 months. Read...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask a Radiologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.