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microvascular ischemic changes

I have just been getting copies of all my reports as having few problems with doctors.  
And in my mri report done 3 yrs ago i was 35 yrs old and it says there a few small foci of increased t2 signal in the cerebral white matter in keeping with the patients age and small vessel ischaemic change. There were other abnormalities

I have a few questions
1) I have had a few t.i.a s in past which didnt show up on ct scan and wasnt subsequently followed up.Could this be the reason

2) Is this the same as small vessel disease
as i am being investigated for microvascular angina.  Do i need to let them know?

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