78 years, Male, memory loss No intracranial mass or mass-effect. There is moderate degree of global parenchymal volume loss. No disproportional volume loss involving the hippocampi or particular lobar distribution of volume loss is suggested. There is prominence of the lateral ventricles which may be slightly out of proportion to the degree of volume loss. No diffusion abnormality. No intracranial hemorrhage. 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. 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. Moderate degree of global parenchymal volume loss. There is prominence of the ventricular system which is favored to be related to the volume loss however, component of communicating hydrocephalus/NPH is possible and should be considered in the appropriate clinical setting.