### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello I am 43, 5 8 tall, 137 lbs. I am having pains in my neck and pressure in my head. The pain goes my clavicle. I just had an MRI of the brain and the neck. I would like to know what is T2 sequences show scattered minute white matter hyperintensities mostly on the left subcortical consistent with minimal small vessel disease and the sequela of chronic ischemia? Also what is the basal arteries are patent? I also have numbness and weakness on my legs but more on the right side.

### output:

Hi ! Good morning. I am Chat Doctor answering your query. The report shows some amount of lack of proper blood supply to the neural cells of some part of the brain. This could be due to any pathology of the blood vessels like arteriosclerosis due to very many regions. Basal arteries are one of the major arteries of brain and cervical region. These arteries are normal as per the report of patency of these vessels. These findings could also be just incidental findings whereas your symptoms could be due to cervical spondylitis, but there is no mention of that in the report. The significance of these findings could be co related only by physical examination and some other investigations if need be by the treating doctor. If I were your doctor, I would also advise very much against smoking and alcohol if you do consume any of these. Management of your symptoms could either be physiotherapy and some euro vitamins along with some anti-inflammatory Chat Doctor.  These could be decided by the doctor who treats you after a physical examination and some routine investigations including a blood sugar test. I hope this information would help you in discussing with your family physician/treating doctor in solving this problem. Thanks for using the Chat Doctor forum for your health query. Wishing you an early recovery. Chat Doctor.