 There are multiple nonspecific foci of T2 hyperintensity in the subcortical and periventricular white matter and in the pons. There is no abnormal intracranial enhancement. There is no evidence of intracranial mass lesions. There is no midline shift or herniation. There is evidence of no acute intracranial hemorrhage. There is mild diffuse cerebral volume loss. The vascular structures are grossly intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Nonspecific foci of T2 hyperintensities in the cerebral and pontine white matter may represent small vessel chronic ischemic disease.2. Mild diffuse cerebral volume loss without a specific pattern of neurodegenerative process.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.