81 years, Female, with memory loss. FLAIR sequences and diffusion weighted imaging are significantly technically degraded. No intracranial hemorrhage. No intracranial mass or mass-effect. Mild global brain parenchymal volume loss including bilateral hippocampi is noted. Several foci of T2 hyperintensity are also noted in the bilateral subcortical and periventricular white matter as well as more confluent areas of T2 signal abnormality in the pons, which are nonspecific, but compatible with chronic small vessel ischemic disease. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Bilateral ocular lens replacements are noted. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
Slightly limited examination due to technically degraded FLAIR sequence. The patient will be asked to return for repeat sequence at no additional charge.1. No evidence of intracranial hemorrhage, mass or mass effect.2. Mild global brain parenchymal volume loss including bilateral hippocampi.3. Foci of increased T2 hyperintensity in the supratentorial white matter and pons are nonspecific, but likely related to chronic small vessel ischemic disease.