Memory loss. ? Late-onset Alzheimer dementia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few punctate T2-hyperintense lesions in the cerebral white-matter. The brain parenchyma appear unremarkable otherwise. There is unchanged mild expansion of the sylvian fissures and the sulci, reflecting age-appropriate brain volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The expanded, empty sella remains unchanged. There is also a small CSF-filled invagination into the floor of the left middle cranial fossa anterior to the left foramen ovale which is unchanged since the previous examination. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Age-appropriate global brain volume loss without specific distribution, not significantly changed since October 2014. 2.Relatively mild white-matter lesions that are nonspecific but most likely vascular related