abnormal MRI

Abnormal MRI of head with and w/o contrast.  There is no acute infarct.  There is mild periventricular and subcortical white-matter gliosis that is most likely due to chronic microangiopathy.  Left maxillary sinusitis is also present.  What does all that mean?

[Dr Sharma]

Hello and welcome to the medhelp forum. This is your MRI brain finding without and with a contrast agent given intravenously( usually a dye which highlights the vessels on MR and tumor. There is no area with dead brain tissue due to loss of blood supply. gliosis in periventricular and subcortical white matter means growth of astrocytes in response to damage in the brain, mostly due to chronic microangiopathy. this can be secondary to uncontrolled hypertension and hypercholesterolemia. controlling these factors can stop further damage in the microvessels in brain. there is suggestion of left maxillary sinus involvement which has to be correlated  clinically. hope this help.