Lewy body dementia with worsening symptoms, including left neglect and worsening gait. There is a moderate degree of global parenchymal volume loss with slightly greater involvement of the bilateral parietal lobes appearing similar to the MRI from 2/18/2013. There is no disproportionate volume loss in the hippocampus, brainstem, or cerebellum. There is no evidence of mass effect. There are no abnormal extra-axial collections. There is no significant vascular disease. There is prominent mineralization/calcification involving the bilateral cerebellar hemispheres as well as the basal ganglia as seen before. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no hydrocephalus. There is partial opacification of the bilateral ethmoid air cells and minimal opacification elsewhere in the paranasal sinuses. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. No acute findings. Specifically, no evidence of infarct or intracranial mass effect.2. Moderate global parenchymal volume loss with slightly greater involvement of the bilateral parietal lobes appearing similar to the prior MRI.3. Prominent mineralization/calcification involving the cerebellar hemispheres and basal ganglia appearing similar to prior studies. This finding is nonspecific but can be seen in a variety of acquired and inherited metabolic disorders, for example.