Female, 66 years old, with memory loss and confusion. Assess for structural abnormalities, atrophy. Numerous small scattered foci of T2 hyperintensity are seen within the white matter of the cerebral hemispheres, largely in the subcortical regions and to a lesser degree the deep periventricular white matter. No evidence of restricted diffusion is seen. No significant edema or mass effect is detected.There is no evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection. The sulci of the cerebral vertex are perhaps slightly prominent but there is no specific pattern or focality to this finding. Ventricular size and morphology are within normal limits.
1.No acute intracranial abnormality.2.Numerous scattered small foci of white matter signal abnormality are seen, a nonspecific finding. This carries a broad differential diagnosis which includes sequelae of microvascular ischemic disease, demyelination, migraine headache or vasculitis among many other possible etiologies.3.Prominence of the sulci is seen along the cerebral vertex suggesting the possibility of underlying parenchymal volume loss. However, there is no specific pattern or focality to this finding.