Conversation: The conversation between human and AI assistant.
[|Human|] What does chronic microvascular ischemia mean on an MRI of brain. More specifically )Mild generalized frontal volume loss and mild to moderate expansion of the ventricles is seen. Also a few small FLAIR hyper intense lesions are seen in the deep white matter regions of the cerebral hemispheres. The largest in the right occipital lobe measures 4mm
[|AI|]  Hi I have gone through your question and understand your concern. The generalized frontal volume loss is a normal finding on MRI in people over 60 yrs old, while the enlarged ventricles are a normal consequence. The chronic microvascular ischemia is a general term given to the multiple hyperintensities seen in the white matter on T2 and Flair sequences. These have been correlated to uncontrolled high blood pressure, but not a specific brain pathology itself, rather a consequence of bad treatment of BP. I recommend a cardio logic evaluation of your blood pressure and appropriate treatment (remember: half of the hypertensive people get no treatment, and half of those who get treatment are treated bad)You should also take a MUSE (mini mental state exam) by a neurologist for the frontal volume loss because sometimes it may be associated to early signs of Alzheimer disease. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.