Evaluate for frontotemporal dementia or other intracranial process leading to personality change: Suicide attempt, impulsivity, poor cognition. There is extensive patchy cerebral, brainstem, and cerebellar white matter T2 hyperintensity. There are also numerous punctate foci of susceptibility effect in the bilateral basal ganglia, thalami, brainstem, and cerebellum. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Extensive areas of white matter T2 hyperintensity and foci of susceptibility effect likely represent stigmata of chronic hypertensive encephalopathy.2. No specific findings to suggest frontotemporal dementia.3. No evidence of intracranial mass or acute infarct. 