Dementia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are several scattered areas of cerebral white matter T2 hyperintensity. The ventricles and sulci are mildly prominent diffusely. 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. There are mild degenerative changes in the partially-imaged cervical spine.
1. Mild diffuse cerebral volume loss, without a discrete pattern to suggest a particular neurodegenerative condition. Nevertheless, a brain PET may be useful for further evaluation, if clinically warranted.2. No evidence of acute intracranial hemorrhage, mass, or acute infarct.3. Several scattered areas of cerebral white matter T2 hyperintensity are nonspecific, but may represent the result of chronic small vessel ischemic disease.