Conversation: The conversation between human and AI assistant.
[|Human|] Hello I am 56 have pain in left high neck with left side head, and polycystic kidneys, need to understand what my My MRI and MRA shows, here is the opinion: Bilateral parietal few tiny ischemic foci Right cerebellum small old infarct Bilateral temporal arachnoid cysts Central and cortical involuntional brain changes Attenuation os (sagital image) segment of the both posterior cerebral artery
[|AI|]  HelloYour findings suggests polycystic kidneys. These are developmental abnormalities and usually only need follow-up ultrasound. Findings also suggests ischemic loci in bilateral parietal region. Ischemic changes generally occur in conditions like hypertension, altered lipid profile, diabetes mellitus, vasculitis etc. These conditions damage small blood vessels and this leads to ischemia. So, you need screening of these conditions. It includes proper clinical examination and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile. You may need to take few medicines after evaluation.However, other causes may be desalinating disease, migraine headache, edema etc. These conditions should also be ruled out, and you may need follow-up MRI to see progression of lesions. There is also an old infarct in right cerebellum. There are also incidental arachnoid cyst in bilateral temporal region. It generally doesn't require any treatment. There are also age related atrophic changes in brain. Get well soon. Take Care Chat Doctor.