Conversation: The conversation between human and AI assistant.
[|Human|] My radiology report suggests some foci of chronic ischemic white matter disease. I am 65 have hypothyroid, allergies PBC and received this today. My father died of alzheimers and I have had multiple spells of like heart attack that was on rt side radiated to jaw and head. could this be alzheimers.
[|AI|]  Dear User, Thanks for using Chat Doctor. Generally Alzheimer's do not present with white matter disease. The most common cause of white matter disease is ischemic injury. It is quite possible to have multiple small strokes if you are having ischemic disease risk factors like family history, hypertension, diabetes, smoking, factor V laden mutation. If you are having any risk factors you need to post again or contact your PCP for assessment of vascular risk factors and to find out the cause for white matter changes. Thanks