Clinical question: Secondary cause of memory loss. Signs and symptoms: Memory loss. Nonenhanced brain MRI:No acute intracranial process and negative diffusion weighted series.Examination demonstrate normal anatomical development and morphology of the brain parenchyma. There are mild punctate foci of FLAIR hyperintensity in the subcortical and periventricular white matter of bilateral cerebral hemispheres which considering patient's stated age likely representing microvascular ischemic changes of mild degree. The signal intensity of brain parenchyma is otherwise within normal on all MRI sequences. Mild prominence of cerebral cortical sulci is noted in bilateral parietal lobes and unremarkable otherwise for patient's stated age.The ventricular system remains within normal and with maintained midline.CSF spaces are unremarkable.Signal void of all major intracranial arterial branches are identified.Unremarkable images through the orbits and with normal appearing calvarium and soft tissues of the scalp.All visualized paranasal sinuses and bilateral mastoid air cells and middle ear cavities are unremarkable.
1.No acute intracranial process.2.Findings suggestive of mild chronic small vessel ischemic strokes.3.Mild bilateral prominence of cortical sulci mostly in the parietal lobes and unremarkable exam otherwise.