Dr. Anshul Varshney
Internal Medicine
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Patient's Query
Hello doctor,
Magnetic resonance imaging (MRI) results say small hyperintense focus subcortical white matter of right frontal lobe is seen, right parasagittal in position, this measures no more than 3 mm and is found in isolation. A gliotic focus is favored. I have an appointment with a neurologist but in three months. Please help me understand what this means and what are the possible diagnoses.
Hi,
Welcome to icliniq.com.
See this report needs clinical correlations (attachment removed to protect patient identity). So, I would need to know that for what basic symptoms were this magnetic resonance imaging (MRI) performed?
Patient's Query
Thank you doctor,
Left eye is sticking sometimes. Not moving. Then moves again. Headaches on and off. That is why the Magnetic resonance imaging (MRI) was done.
Hi,
Welcome back to icliniq.com.
So your symptoms favor the magnetic resonance imaging (MRI) report. It looks like you have gliosis. This is a non-specific change in response to inflammation. As such gliosis does not require specific treatment but only symptomatic medications for migraine and epilepsy like Topiramate are added. Also, important here is to rule out any multiple sclerosis, that would require an MRI spine. I personally recommend a yearly follow-up MRI to check for the size.
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Internal Medicine
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