Conversation: The conversation between human and AI assistant.
[|Human|] My MRI sys, a few punctate FLAIR signal abnormalities are seen in the frontal lobe white matter bilaterally which are nonspecific and may be related to mild chronic microvascular changes. These findings have also been described in the setting of migraine headaches. I have sudden.y had multiple headaches for two months. I also had Rocky Mountain spotted tick fever in the past year. Is ther any real explanation for these headaches in this MRI? or could the tick fever be playing a factor in it.
[|AI|]  Hello dear friend, I understand your concerns. Punctate white matter abnormalities on flair MRI, can result due to microvascular changes but also otherwise, are seen in 27% of the asymptomatic or normal individuals. If at all, your episodic migraine has caused these MRI changes, even then your migraine and not your MRI is to be treated. Your tick fever is a thing of past, and whether it has caused these changes or not, hardly make any difference till the time you are asymptomatic. I hope it helped.