Conversation: The conversation between human and AI assistant.
[|Human|] Recent MRI to rule out vestibular schwannoma (resulting in unilateral hearing / balance loss) reported "cerebral white matter T2 signal changes compatible with chronic microvascular ischemic disease".  Am I having mini-strokes?  Inner ear and auditory canals listed an normal / unremarkable.  How would you define  chronic microvascular ischemic disease.  (I was a nurse before entering engineering field.)
[|AI|]  Hello. I have been through your question and understand your concern. Microvascular white matter disease is a normal feature found on most of the MRIs after a certain age. There is no treatment to this condition and is not really a stroke or ministroke. These are just perfusion changes in the level of arterioles, not arteries, which are thought to be related to hypertension. You should not be worried. This is a normal MRI. Hope this helps. Wish you the best health