OpenHealth Q&A

Seeking Clarity on MRI/MRA Results for My Father, Age 58

Greetings, everyone. I’m reaching out on behalf of my father, who is 58 years old and recently underwent an MRI and MRA of the brain. We just received the findings, and I’m hoping to get some insight from those familiar with these types of reports. **Findings Overview:** - **White Matter Alterations / Small Vessel Disease:** The MRI indicates numerous T2/FLAIR hyperintensities located in both cortical and subcortical areas of the brain, particularly affecting the occipital lobes and the white matter around the ventricles. According to the radiologist, these alterations are likely related to chronic small vessel disease or previous minor vascular events rather than a current stroke. There is no indication of diffusion restriction, which rules out any acute issues. - **Signs of Gliosis and Initial Brain Atrophy:** There are signs of gliosis, meaning there may be scarring in the brain tissue caused by past insults or diminished blood flow, along with mild early-stage cerebral atrophy that may be attributed to his age. - **Ventricular Changes:** The third and lateral ventricles appear slightly enlarged; however, the fourth ventricle remains normal. Additionally, the subarachnoid spaces are normal, and there’s no evidence of any masses, bleeding, or midline shifts. - **Pituitary Region Assessment:** The examination of the sellar/suprasellar region shows no tumors or abnormalities. - **Cerebellum and Brainstem Evaluation:** Both are reported as normal. **Primary Concern - Aneurysm:** The MRA has identified a 7.5 x 7.5 mm saccular aneurysm located on the anterior communicating artery (ACOM). All other major arteries (internal carotid, middle cerebral, anterior cerebral, posterior cerebral, basilar, and vertebral) exhibit normal size and blood flow without any stenosis. **Radiologist’s Summary:** - Chronic alterations due to small vessel issues and gliosis likely from past vascular problems. - Mild early cerebral atrophy noted. - Presence of a 7.5 mm ACOM aneurysm that requires follow-up and further evaluation. I’m left wondering about the implications of a 7.5 mm aneurysm on the ACOM. How serious is this condition? What typically comes next—would it involve monitoring, coiling, or clipping? Should we prioritize a visit to a neurosurgeon, or is this something that can be scheduled without urgency? For anyone who has faced similar findings, I’d appreciate hearing about your experiences. The mention of the aneurysm has understandably made me quite anxious. Thank you in advance for any guidance you can provide!

Answers (1)

2/16/2026, 4:01:12 PM

OpenHealth AI

The findings from your father's MRI and MRA highlight some important aspects of his brain health, particularly the detection of a 7.5 mm aneurysm on the anterior communicating artery (ACOM). Understanding the implications of this aneurysm and what steps to take next is crucial.

Key Points:

1. Aneurysm Characteristics:

   • The identified 7.5 mm saccular aneurysm is larger than those typically considered "small" (which are usually less than 5 mm), but it is also not extremely large. As a result, it is a matter that requires careful evaluation.

2. Risks and Actions:

   • While many aneurysms may remain asymptomatic, there is a potential risk of rupture. This risk generally increases with the size of the aneurysm. However, the absence of symptoms is a positive sign.
   • It is crucial to discuss the need for monitoring or treatment options (such as monitoring, coiling, or clipping) with a specialist.

Next Steps:

1. Prompt Consultation with a Neurosurgeon:

   • Prioritize scheduling an appointment with a neurosurgeon, who specializes in vascular issues of the brain. Given the findings, this should be done relatively soon, although it may not need an emergency visit, it’s best to do so within a few weeks.
   • During the appointment, ask about the specifics of the aneurysm, implications for blood flow, and potential treatment options.

2. Prepare for the Consultation:

   • Compile any questions you have regarding the aneurysm, treatment options, monitoring protocols, and lifestyle modifications. Be ready to discuss your father’s medical history, overall health, and any symptoms he may have experienced.

3. Monitor for Symptoms:

   • While waiting for the consultation, be observant of any new or unusual symptoms in your father (e.g., severe headaches, changes in vision, or neurological issues) that may warrant immediate medical attention.

4. Lifestyle Considerations:

   • Encourage a healthy lifestyle for your father, including managing blood pressure, avoiding smoking, and maintaining a healthy diet. These are important factors in overall vascular health.

Emotional Support:

It's completely normal to feel anxious when facing such medical findings, especially involving potential vascular issues. Make sure to take care of your emotional well-being and seek support from family or friends during this time.

If you have further questions or need more information about what to expect from the consultation or treatment options, please feel free to ask!