Gait difficulty, memory issues, evaluate for NPH or any abnormality. No intracranial mass or mass-effect. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. There is mild global parenchymal loss, which appears appropriate for patient's age. There is minimally more prominent volume loss involving the bilateral frontal lobes and mild disproportional prominence of the bilateral frontal horns, which is favored to be on an ex vacuo basis. No findings to suggest communicating hydrocephalus. No disproportional volume loss involving the hippocampi is seen. No extra-axial collections are seen. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with minimal chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of intracranial mass or mass effect. 2. Minimal chronic small vessel ischemic changes.3. Mild global parenchymal volume loss which appears appropriate for age. There is mildly more prominent volume loss involving the bilateral frontal lobes. There is also mild disproportionate prominence of the bilateral frontal horns, which is favored to be on an ex vacuo basis and unchanged since CT dated 11/24/2014. No findings to suggest communicating hydrocephalus/NPH.