Your MRI findings are very common and often relate to normal aging, high blood pressure, or cholesterol. To protect your blood vessels, doctors typically manage risk factors using daily low-dose aspirin or cholesterol-lowering statins (like atorvastatin), alongside lifestyle changes. For your lightheadedness and chest sensations, it is important to have your heart evaluated by a doctor to rule out cardiac issues. They may check for blood pressure drops when you stand. Depending on their findings, treatment might include staying hydrated, adjusting current medications, or prescribing treatments for heart rate or acid reflux. Please seek immediate medical attention if your chest symptoms become severe.

It is quite common to have high cholesterol alongside elevated liver enzymes (SGPT/SGOT), often related to a condition like fatty liver. You should not self-medicate. Standard cholesterol-lowering medicines, such as statins (e.g., atorvastatin), can affect liver function, so a doctor must first evaluate the cause of your elevated enzymes before prescribing them. They may suggest an abdominal ultrasound and lifestyle adjustments like a low-fat diet and exercise. Please consult your doctor to safely determine if you need liver-supportive care or a specific, liver-safe cholesterol treatment. Do not worry, as this is a very common and highly manageable health profile.