Other symptoms and signs involving cognitive functions and awareness [R41.89], Reason for Study: ^Reason: cognitive decline over past few years History: memory decline with visuospatial difficulties There is no evidence of acute ischemic or hemorrhagic lesion on the scan.Multifocal scattered FLAIR/T2 high signal intensity lesions on periventricular white matter and centrum semiovale indicate nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
No evidence of acute ischemic or hemorrhagic lesion.Nonspecific small vessel ischemic disease.