Male, 63 years old, with memory loss. Assess for any specific pattern of atrophy. Diffusion weighted images are within normal limits. There are numerous scattered foci of T2 hyperintensity in the subcortical and periventricular white matter, with a few also to be found in the pons.No evidence of significant parenchymal atrophy is seen. No edema or mass effect is detected. There is no evidence of acute intracranial hemorrhage. A focus of susceptibility within the right cerebellar hemisphere likely represents chronic microhemorrhage. No abnormal extra-axial fluid collections are seen. The ventricles are normal in size and morphology.On post contrast imaging, no pathologic parenchymal or extra-axial enhancement is seen.
1. No evidence of significant parenchymal atrophy is seen.2. Numerous scattered foci of white matter signal abnormality are nonspecific but most commonly represent the sequelae of chronic microvascular ischemic disease.3. No acute intracranial abnormality or other specific findings are seen which would account for the patient's memory loss.