64-year-old female with history of forgetfulness. There are no areas of restricted diffusion to suggest an acute infarction. There are mild scattered foci of increased T2/flair signal abnormality within the periventricular white matter, which is nonspecific. The mesial temporal lobes are unremarkable and appear symmetric. The basal cisterns are intact. There is no midline shift or mass effect. There is no evidence of intracranial hemorrhage. The orbits, paranasal sinuses, and mastoid air cells are clear. Normal vascular flow voids are present within the cerebral vasculature.
Nonspecific scattered foci of increased T2/signal abnormality within the periventricular white matter likely compatible with mild chronic ischemic small vessel disease. Otherwise, no specific findings to account for the patient's symptoms.