A copy of my 78 yr old mother's MRI given for slow, progressive weakness on left leg/hand, and "heavy, lead-filled left foot" as she describes it, coming over her during pas year or so. The left hand has little strength, but there's clear signs of her OA there. She has chronic edema in both lower legs, and is now using comp stockings, and has NOT been active or walking at all for more than that year. Does the impression #1 mean she's had a mini-stroke, or has MS, or that there is something progressive that's responsible for her heavy, weak leg/foot? Is there a treatment for what she has and if so, is this something that's worsen?
Patient with slowly progressive leftsided weakness.
The ventricles, cisterns and other CSF containing
spaces are diffusely prominent but otherwise normal in shape and
position. The brain parenchyma is remarkable for confluent
periventricular and slight brain stem T-2 and FLAIR hyperintensity in a pattern and distribution most consistent with gliosis due to ischemic small vessel disease. There is no evidence of a focal mass, midline shift or of acute intracranial hemorrhage. There is no evidence of restricted diffusion on DWI or ADC images.
1. Prominent CSF spaces combined with white matter signal abnormality in a pattern and distribution most consistent with
gliosis due to ischemic small vessel disease.
2. No evidence of focal mass, midline shift or acute intracranial hemorrhage.
3. No evidence of acute ischemia or acute focal demyelination on DWI.
THANKS very much,