instruction: hello doctor diffusion weighted images add maps and postcontrast sequences were also performed findings there is mild cerebral volume loss and ex vacuo dilatation of ventricular system there are scattered punctuate foi of increased signal intensity within the periventricular and deep subcortical white matter on the to flair sequences which are nonspecific however they are most likely secondary to chronic small vessel disease there is no evidence of restricted diffusion to suggest an acute infact midline shift or mass effect there are no blood products on the gradient echo images normal intracranial flow voids are seen the visualized paranasal sinuses are clear there is no pathologic enhancement identified degenerative changes are noted within the upper cervical spine impression no acute intracranial process mild cerebral atrophy and mild chronic small vessel disease no pathologic enhancement identified what should I do and how concerned should I be I am 70 years old and my be and cholesterol are controlled how concerned should I be
output: hello your mri shows mild cerebral atrophy with some small vessel disease changes I would like to know about your memory speech gait and urinary symptoms are there any abnormalities these changes are much common at the age of 70 but still you have to take some precautions life style modifications like regular sleep and healthy foods like low sugar low fat high fiber and protein will do exercise 45 minutes regularly it is good that your be and cholesterol are under control keep a watch on it check your blood sugar at least yearly and if raised then control it do regular meditation and yoga