 There are minimal patchy areas of T2/FLAIR hyperintensities in the subcortical and in the periventricular white matter, which are nonspecific, but most likely consistent with chronic small vessel ischemic changes. There are no diffusion or susceptibility abnormalities. The ventricular size is normal. No evidence for acute intracranial hemorrhage, mass effect, or edema. There is no midline shift. Basal cisterns are patent.There is global parenchymal loss with prominence of the ventricular system, which is mildly advanced for age.
1. No intracranial mass or mass effect. Minimal chronic small vessel ischemic changes.2. There is global parenchymal loss which is mildly advanced for age. The prominence of ventricular system is at least predominantly related to volume loss. There may be however a component of communicating hydrocephalus/NPH which can be considered in the appropriate clinical setting.