Perivenricular white matter ischemic, Lacunar infarct, diffuse cerebral atrophy

[amukht]

My father is 70 years old. He is diabetic and BP patient since a decade. Our family doctor suggested us to visit neurologist. Following lines were written in brain scan report. Can someone help me understand these in layman terms.
-Perivenricular white matter ischemic changes
-Lacunar infarct, lt. lentiform nucleus
-Changes of diffuse cerebral atrophy
All that neurologist told us is "use these tablets for 3 weeks and visit me then".

[babaji1056]

My mother 80 yrs old.

MRI Report:  OPINION:MR imaging reveals duffuse cerebral atrophy with non-specific ischemic white matter changes.

Any advice is appreciated

[amukht]

Dear Doctor,

   Thanks a lot for you reply.

bye,
-amukth

[Dr. Kokil Mathur]

Hi!

The changes mentioned in the report would be expected in a 70 year old with a prolonged history of blood pressure. He has a lacunar infarct or a dead area in the deep area of the brain, and this happens due to a lacunar stroke. If your father does not have any neurological symptoms, then this is a silent type, and needs only observation.

Diffuse cerebral atrophy and ischemic changes are expected both due to age, and due to diabetes and hypertension. If there are no strong neurological sign, you need to just wait and watch and keep his diabetes and hypertension strictly under control. Take care!