Deteriorating memory. Symptoms compatible with depression vs subacute cognitive decline. Screening tools as the NE and MMSE are normal. There is a punctate focus of susceptibility artifact in the pons to the right of midline which correlates with focal contrast enhancement and may reflect an incidental capillary telangiectasia. There is no other abnormal intracranial enhancement. Otherwise, there is no evidence of intracranial hemorrhage, mass, or acute infarct. For age, there is minimal global parenchymal volume loss but no hydrocephalus. Otherwise, the brain parenchyma and pituitary gland appear unremarkable. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Mild global parenchymal volume loss but no focal lesion.2.No evidence of intracranial hemorrhage, mass, or acute infarct. 3.Small incidental pontine capillary telangiectasia is suspected.