55 years, Male, forgetfulness, foggy thinking, status post OLT. No intracranial mass or mass-effect. There is mild global parenchymal volume loss which is slightly prominent for patient's age. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No hydrocephalus. Few foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with minimal chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Minimal mucosal thickening is noted in the paranasal sinuses. There is partial opacification of the left mastoid air cells. Bone marrow signal and extracranial soft tissues are within normal limits.
There is mild global parenchymal volume loss. Examination of the brain is otherwise unremarkable for age.