<s>[INST] Sir,Iam suffering from shoulder neck pain for a pretty long time.Recently i am having pain in the right side of of brain above head followed by pain in the eye.MRI {P+C) report says Tiny T2 hyper intensefoci in bilateral frontoparietal subcortical white matter suggestive of ischemic foci.sir,what does this mean .any treatment required and if so what is your advice? [/INST] Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that your MRI report indicates the presence of small strokes in both fronto-parietal lobes. These findings can be related to different disorders: - migraine - small vessel disease- an inflammatory disorder, etc. That is why, I would recommend consulting with a neurologist for a careful physical check up and some tests: - a cardiac ultrasound - an ECG Holder monitoring to exclude possible cardiac arrhythmia- a Doppler ultrasound of the cervical arteries to investigate for possible narrowing-blood lipid profile- PCR and sedimentation rate for inflammation- complete blood count for anemia-fasting glucose for diabetes. Meanwhile, I would recommend taking aspirin 80-100 mg daily. Hope to have been helpful! Greetings,  </s>