How to show images on RDLC report?

Help reading MRA angiography brain report ?

• Can someone help me read my brain mrA report? it's confusing bc it says that it's a normal report but then there's abnormality. Im only going to type the parts that seem abnormAl. Just a little background: I had an MRI of the brain done and that revealed a Mini lacunar stroke. Then my doc got a Doppler done and he said I had blockAge in my Arteries and so then he told me to get a brAin MRA angiography. Here is the report: FLAIR images of the brain demonstrate a few tiny punctate foci of increased signal intensity within the subcortical white matter of both frontal lobes. No other area of abnormal signal intensity is present within the brain parenchymA. There is no area of restricted diffusion within the brAin to indicate acute infarction. No mass lesion or extra axial fluid collection is present. CONCLUSION: 1. Normal MR angiOgram of the brain. Specifically there is no evidence of focal stenosis In the region of the left anterior cerebrAl artery circulation 2. There are a few tiny high T2 signal intensity foci scattered the sub cortical white matter of both frontal lobes. This represents a non specific finding with the most likely etiology being areas of gliosis to prior ischemia or inflammation. This finding may be seen in the context of migrAine headaches. There is no brain edema or restricted diffusion to indicate acute infarctiOn Can anybody help????? I don't get why the Doppler saw blockage And this doesn't show anything. Wuts up with foci? I'm 25 years old and any help would be appreciated.

• Answer:

  I'm certainly no expert in this matter of reading MRI or MRA images, so I'll just tell you in a general way what I think: It sounds like the FLAIR images showed up some naturally occurring plack (foci) (the inflammatory response itself may have caused this) in some of the vesicles carrying blood to the frontal lobes (areas of higher brain function). According to the FLAIR images that's the only problem area of your brain, and it may be of minimal concern at this time. It appears that blood flow to the rest of your brain, and function, is pretty much normal. Keep in mind that MRI and MRA images are far superior in resolution and image quality than that of Doppler images. I would go with what the MRI and MRA is telling you. ("New findings about inflammation: Hypertension used to be called the "silent killer," but the new silent killer is inflammation. We once thought that arteriosclerosis (the accumulation of fat in the vessels that causes blockages) was purely mechanical, but we now know that the inflammation in response to the deposits of fat may be more detrimental than the fat itself. The body reacts to this fat by causing inflammation. Therefore, even fatty deposits that have not blocked arteries will be subject of chronic inflammation, which in turn can shut down an artery without warning. We can now test for this by looking at certain proteins in the blood that signify inflammation, an important marker for people at risk for heart disease.") ------------------ The Human Body: How We Fail, How We Heal by Professor Anthony A. Goodman Montana State University page 22 See: Anthony A. Goodman, M.D. http://www.thegreatcourses.com/tgc/professors/professor_detail.aspx?pid=122 ---------------- Best regards