 There is no acute infarct, suspicious intracranial enhancement, mass, or cerebral edema. There are scattered periventricular and subcortical white matter T2 hyperintensities, which are nonspecific, but likely represent mild chronic microvascular ischemic changes. There is mild diffuse parenchymal volume loss, commensurate with age.There are several scattered punctate foci of susceptibility effect including the right superior frontal gyrus, left temporal, parietal and occipital lobes which are compatible with chronic microhemorrhages. No extra-axial collections. No hydrocephalus. There is no midline shift or herniation. Major flow-voids are preserved. The skull and extracranial soft tissues are unremarkable.
1. Mild global volume loss and mild chronic microvascular ischemic changes. No intracranial mass or acute infarct.2. Several tiny foci of chronic microhemorrhages in a lobar distribution which may be related to amyloid angiopathy.