Conversation: The conversation between human and AI assistant.
[|Human|] I had a MRI done in Jan of this year and then was diagnosed with pancreatic adenocarcinoma-stage 2B in Feb. Ive since undergone a whipple procedure and currently going through chemotherapy. Obviously, my PC trumps my numbness and tingling, but Im curious as to what the following results from my MRI mean. I have not followed up with my Neurologist. My question is, what does this mean, and under the circumstances, should I even bother following up with my Neuro? Thank you...This patient has multiple small nodular foci of T2 and FLAIRhyperintensity evenly scattered in the lateral and superior frontalsubcortical white matter involving the superior medial frontaljuxtacortical white matter. The white matter hyperintensities do notfill McDonalds revised criteria for demyelinating process disseminatedin space as they spare the periventricular white matter, corpuscallosum, brainstem, and posterior fossa and I think they are amanifestation of mild small vessel disease.
[|AI|]  Hi and welcome to Chat Doctor. This is something that will be found on MRI in the most people older than 50 years. This is sign of degenerative and ischemic brain processes and this is part of aging. If you don't have any symptoms you shouldn't be worried. Usually sometimes multiple sclerosis can be suspected but this isn't indicating it. If you are afraid of pancreatic metastases you should not be because this is very rare and different MRI findings would be seen. I suggest to check again Braun MRI in a year and see is there progression. Wish you good health.