Female, 81 years old, with memory loss, repeating questions, some executive problems on MOCA. Numerous scattered foci of T2 hyperintensity are seen within the subcortical and periventricular white matter. No restricted diffusion is seen. No parenchymal edema or mass effect is detected. There is no evidence to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricular size is within normal limits. The sulci are diffusely prominent compatible with underlying parenchymal volume loss.
1.Scattered white matter signal abnormality which likely reflects chronic microvascular ischemic disease.2.No acute intracranial abnormality.3.Global parenchymal volume loss without specificity of pattern.