Cognitive deficits and expressive aphasia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is diffuse cerebral and pontine white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and sulci are prominent diffusely due to to cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are secretions in the left posterior ethmoid sinus.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarction.2. White matter signal abnormality is nonspecific but may represent chronic small vessel ischemic disease.3. Mild diffuse cerebral volume loss.