Dysarthria. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered foci of cerebral white matter T2 hyperintensity. There is diffuse cerebral volume loss, which is most pronounced in the medial temporal lobes. 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.
1. Nonspecific mild scattered foci of cerebral white matter T2 hyperintensity may represent chronic small vessel ischemic disease. Otherwise, no evidence of acute infarction.2. Diffuse cerebral volume loss, which is most pronounced in the medial temporal lobes, which may represent Alzheimer disease in the appropriate clinical setting. 