Short-term memory loss. The brain demonstrates expansion of the CSF-containing spaces reflecting volume loss. This is global though more pronounced in the medial temporal lobes. There are tiny foci of T2 hyperintensity in the frontoparietal white matter that probably reflect minimal microvascular ischemia. There is no space-occupying lesion or midline shift. There is no intracranial hemorrhage. The major intracranial vessels are patentNote is made of a partially empty sella of no clinical significance. Orbits are normal. There is minimal mucosal thickening in the sphenoid and right anterior ethmoid sinuses. The other paranasal sinuses and mastoid air cells are clear.
1.Brain volume loss, slightly more pronounced in the medial temporal lobes, a pattern which can be seen in the clinical setting of Alzheimer's dementia.2.Minimal microvascular ischemia in the frontoparietal white matter.