 The ventricles and sulci are normal for age. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with mild-moderate chronic small vessel ischemic changes, predominantly clustered within the basal ganglia. There is no pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is minimal scattered paranasal sinus mucosal thickening. The mastoid air cells are clear.
1.No acute abnormality or abnormal enhancement. No specific findings to account for memory deficit.2.Mild-moderate chronic small vessel ischemic changes, with more confluent lacunar ischemic disease concentrated within the basal ganglia. 