<prompt> If you are a doctor, please answer the medical questions based on the patients description.My brain scan says this: There is patchy abnormal signal within the deep and subcortical white matter of both cerebral hemispheres especially within both frontal lobes in the anterior watershed distribution. The appearances are in keeping with chronic small vessel disease. the abnormal white matter lesions do not have the morphology of inflammatory lesions. Mild generalised cerebral and cerebellar volume loss with sulcal prominence at the vertex of both cerebral hemispheres. What does this mean please.  <response>: Hi, Thank you for posting your query. I have noted your MRI brain findings. First, I would like to reassure you that these findings do not represent any serious brain disease. I need to know your age and clinical symptoms to explain to you the significance of your MRI findings. Chronic small vessel disease suggests lack of blood supply to certain parts of brain. The underlying risk factors could be high blood pressure, sugar or cholesterol. Volume loss refers decrease in size of brain. Both these findings are common in older people and tend to worsen with age. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly 