Autonomic dysfunction likely from dementia with Lewy bodies: syncope. There is mild disproportionate volume loss involving the bilateral posterior cerebral hemispheres. There is no evidence of intracranial hemorrhage or acute infarct. There is mild nonspecific diffuse periventricular white matter T2 hyperintensity. There is no abnormal intracranial enhancement. There are bilateral choroid plexus xanthogranulomas. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
Findings compatible with dementia with Lewy bodies.