Chronic white ischemic changes, and many other similar sounding terms, all relate to the identification of abnormal hyperintense signal foci in the white matter of brain. The number, size, pattern and distribution of the anomalies, as well as the patient Demographics and history all contribute to a differential diagnosis, whereby the radiologist reading the exam tries to attribute a cause to the anomalies. Often times, a certain number of anomalies are noted, which when all criteria are considered, seem to be part of the normal spectrum of findings. This is particularly true of older individuals, where it is a common finding. The lesions themselves are not cause for concern, and no treatment per se is necessary.
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