 There is no acute infarct, mass, or cerebral edema. There is a 10 x 5 mm thickening and enhancement of the left anterior frontal convexity dura on series 1001 image 19 presumably representing a small meningioma without adjacent mass effect. There are periventricular and subcortical white matter T2 hyperintensities which are nonspecific, likely representing mild chronic microvascular ischemic changes. There is a small old right cerebellar hemispheric infarct. There is a punctate focus of susceptibility effect in the right occipital lobe likely representing chronic microhemorrhage. There is diffuse ventricular and sulcal prominence advanced for patient age consistent with moderate global volume loss, also including the bilateral hippocampi. There is no midline shift or herniation. There is nonspecific opacification of posterior left ethmoid air cells. The skull and extracranial soft tissues are unremarkable.
1.Moderate global volume loss (advanced for patient age) and mild chronic microvascular ischemic changes with no acute infarct.2.Left frontal convexity dural thickening with enhancement presumed to be a tiny 10 x 5 mm meningioma without mass effect on the adjacent brain.