Dear Doctor, I am 67 Years old. My MRI report says as folilows Observations Multiple small variable sized discrete and confluent nonenhancing asymmetrical T2 / T2 FLAIR intermediate hyperintense signals seen involving pons, subcortical and paraventricular white matter of bilateral fronto-parietal lobes and centrum semiovale, suggestive of chronic small vessel disease changes. No evidence of acute infarct, hemorrhage or space occupying mass lesion noted. No abnormal parenchymal or meningeal contrast enhancement seen. The thalami, basal ganglia and internal capsules are normal on both sides. The ventricles and sulci are normal for the age. The pituitary gland, infundibulum and hypothalamus are normal for the age. The posterior fossa shows normal cerebellum. The medulla and mid brain shows normal signals in all the sequences Dolichoectasia of left vertebrobasilar artery noted. Bilateral 5th,7th, and 8th nerve complex appear normal in size and signal intensity. Bilateral CP angles appear normal. No abnormal vascular loop. Bilateral vestibule, semicircular canals and cochlear appear normal. Visualized temporo-mastoid bones appear normal. Normal flow void is seen in the major dural venous sinuses and arteries. Visualized orbits and contents appear normal. Small non-enhancing T2 hyperintense and T1 hypointense polypoid mucosal thickening of left maxillary sinus, suggestive of mild sinusitis with polyp/retention cyst. MRI BRAIN PLAIN AND CONTRAST Impression ï‚· Chronic small vessel disease changes involving pons, subcortical and paraventricular white matter of bilateral fronto-parietal lobes and centrum semiovale. ï‚· No abnormal parenchymal or meningeal contrast enhancement. ï‚· No significant abnormality of bilateral 5th,7th, and 8th nerve complex and inner ear structures. ï‚· Left maxillary mild sinusitis with polyp/retention cyst. Please advice.