Forgetting where he leaves personal items. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered areas of high T2 signal in the cerebral white matter, particularly in the bilateral parietal periventricular regions. The hippocampi appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is prominence of the adenoids. There appears to be right optic nerve atrophy diffusely.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct. A few scattered areas of high T2 signal in the cerebral white matter, particularly in the bilateral parietal periventricular regions are nonspecific, but may represent chronic small vessel ischemia and/or prominent perivascular space.2. Nonspecific prominence of the adenoids, which may represent lymphoid hyperplasia, although other etiologies are possible. Endoscopy may be useful for further evaluation. 3. Apparent right optic nerve atrophy.