94 years, Male, memory deterioration. No restricted diffusion to suggest acute ischemia. No intracranial mass or mass-effect. The ventricles are prominent likely reflective of moderate degree of global parenchymal volume loss and commensurate with patient's advanced age. There is patchy T2/FLAIR hyperintensity in the bilateral subcortical and periventricular white matter, which is nonspecific, but compatible with moderate degree of chronic small vessel ischemic disease. There are a few scattered foci of susceptibility compatible with chronic microhemorrhages and in a nonspecific distribution. Brain parenchyma is otherwise unremarkable for age. Postgadolinium images are slightly motion degraded. There is however no appreciable abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are grossly clear. Calvarium and extracranial soft tissues are grossly unremarkable. Bilateral lens implants.
1. No evidence of acute infarct. No intracranial mass or mass effect. 2. Moderate degree of chronic small vessel ischemic disease. Few scattered nonspecific foci of chronic microhemorrhage.3. Moderate degree of global parenchymal volume loss commensurate with patient's advanced age.