This is the MRI report of my uncle (age - 46)
PROCEDURE : -
T1, PD & T2 weighted multi planar spin echo images taken including T1 & T2 FLAIR, GRE as well as diffusion weighted sequences.
FINDINGS :-
Diffusion weighted images are showing no focal parenchymal area of restricted diffusion.
Cerebral hemispheres are showing few small chronic ischaemic foci at bilateral frontal & parietal deep white matter regions producing no mass effect.
Lateral Ventricles, sylvian fissures and cortical sulci are mildly dilated bilaterally.
Rest of the brain parenchyma, ventricular system and subarachnoid spaces otherwise appear normal. No shift of midline structures noted.
Pituitary gland, infundibulum and optic chiasma are normal.
Posterior fossa shows normal signal pattern of the brainstem and the cerebellar hemispheres with the fourth ventricle in midline.
Cerebello - pontine angle and internal auditory canal including VII-th and VIII-th nerves appear normal on both sides.
Incidentally, minimal inflammatory mucosal thickening noted within bilateral paranasal sinuses.
IMPRESSIONS : -
The non contrast MRI findings of brain are suggestive of few small chronic ischaemic foci at bilateral frontal & parietal deep white matter regions with features of mild diffuse cerebral atrophy.
What should be our line of action/treatment ?