Female, 77 years old, with cognitive decline, forgetfulness, language problems. No true restricted diffusion is seen. A focus of diffusion hyperintense signal in the right parietal white matter shows no ADC correlate compatible with T2 shine through artifact.Patchy T2 hyperintensity is seen within the periventricular white matter and the pons. No significant parenchymal edema or mass effect is detected. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The sulci and ventricles are mildly prominent but not beyond what is typically seen for age.On postcontrast images, no pathologic parenchymal or extra-axial enhancement is detected.
1.No acute intracranial abnormality and no specific findings to account for the patient's symptoms.2.Moderate chronic small vessel ischemic disease is seen.