Major depressive disorder, recurrent, moderate [F33.1], Reason for Study: ^Reason: vascular dementia History: htn and cognitive impairment No evidence of acute ischemic or hemorrhagic lesion.Scattered T2/flair high signal intensity lesions on subcortical white matter and periventricular white matter are nonspecific but may indicate small vessel ischemic disease.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1.No evidence of acute ischemic or hemorrhagic lesion.2. Minimal nonspecific small vessel ischemic disease.