Patient presenting with memory loss, evaluate. Scattered areas of T2 hyperintensity in the subcortical and periventricular deep white matter have slightly progressed as compared to the prior exam. There is no evidence of acute infarct. There is mild diffuse cerebral volume loss, appearing similar to prior exam. There appears to be an unchanged punctate focus of susceptibility effect in the inferior left temporal lobe, which may represent a chronic microhemorrhage. 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.
Minimal progression of mild scattered areas of signal abnormality in the subcortical and periventricular deep white matter, which are suggestive of chronic microvascular ischemic disease, but no evidence of acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.