Female, 64 years old, with cognitive and language decline. Scattered small foci of T2 hyperintensity are seen within the periventricular white matter and to a lesser degree the subcortical white matter and brainstem. No evidence of restricted diffusion is seen. No edema or mass effect is detected. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra axial fluid collection. The cerebral sulci are generally slightly prominent suggesting a mild degree of underlying parenchymal volume loss. The size and morphology of the ventricular system are within normal limits.
1.Scattered lesions are seen which statistically most likely represent chronic microvascular ischemic disease.2.Although there is a mild degree of generalized parenchymal volume loss, no diagnostically specific atrophy pattern is appreciated.