I can try to help you in a minimal way. Don't read films but
can assist w/ report info. There is no T1 or T2 mentioned nor
specific lobes of brain. In general, it looks like a pretty gd
report radiologist did. Many are quick scan/sloppy. Your post
reads like they were trying to find things Dr didn't request.
Mri's are read by signals/spins/echoes/light/density/flairs/etc.
I can just tell you what yours kinda' means. Re: 'major flow
voids present', means the main flow vessels in your brain are
seen as `great & flowing well w/ clarity'. No back-up/blockage.
If the word present wasn't there, may mean hard to see/visually
difficult poss. do to a disease. FLAIR is a technique to attempt
to clarify an area. T1 is first test pattern for scan. T2 is 2nd
to go back to ck T1 signal of focus. T2 can separate solid from
a water retaining spot like fat/water/edema in tissue. This
technique is FLAIR. My guess is the punctate is just fat-spots
w/ alot of fluid retained in the white matter part of brain. The
lesions didn't enhance.
When they switch to FLAIR read, it turns
things now dark & they then TRY to enhance. None enhanced so I
think these are old spots of stress to tissue from perhaps the
hdaches or? I had a routine mri w/ a 1.3cm spot & after Flair,
it was determined scar tissue. I had a bleeding vessel at one
time that did damage & sealed. It was a ischemic stroke or
attack. Probably very old & I never felt it. We decided that it
was probably from a death in family w/ long term migraine from grief 10 yrs ago may have been cause. I also have scattered
punctate (fatty spots). *Most end report w/ 'cannot be excluded
or ruled out' to cover their buns. Everyone now days that has
hdaches or mri spots think they have MS. MS is usually dx'd
when things are bilateral + clinical. If you get MS 8 yrs from
now, this is a disclaimer & dropped in Neuro's lap. *Aspirin or
many pain meds cause ear-ringing & also hdache swelling. Hope
I was able to help & not confuse. Gd-luck.