<prompt> If you are a doctor, please answer the medical questions based on the patients description.impression: widened ventricles and cortical sulci,consistant with atrophic brain parenchyma due posibily to birth asphyxia DD old infection,clinical correlation acquired. No evidence of intra cranial bleed, mass or gross area of infarction C.T Report.Sir; How to manage  <response>: Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these brain changes are chronic and non-reversible. This means, that they can not be treated or cured. But, we can try to improve the symptoms. I would like to have some more information on the patient: - How old is he?- What is his past medical history and co-morbidities?- What are his actual symptoms seizures, memory troubles, psychiatric disturbances, gait difficulty? You should discuss with a neurologist on the above issues. Kind regards, 