Diagnosis: Dementia, unspecified, without behavioral disturbanceClinical question: Is there focal abnormality or signs c/w a type of dementia?Signs and Symptoms: memory loss, asymmetric reflexes The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.On FLAIR MRI images there is sulcal signal hyperintensity and intraventricular signal hyperintensity on many of the images. This is suspected to represent some artifact. There is no abnormal enhancing lesion appreciated intracranially.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 2.Examination is mildly compromised due to some artifact on the FLAIR MRI images