Mild cognitive impairment, so stated [G31.84], Reason for Study: ^Reason: Cognitive decline - please assess for lobar atrophy History: executive dysfunction and visuospatial difficulty 78 years Female (DOB:4/4/1938)Reason: Cognitive decline - please assess for lobar atrophy History: executive dysfunction and visuospatial difficultyPROVIDER/ATTENDING NAME: JAMES A. MASTRIANNI JAMES A. MASTRIANNI There is no evidence of acute ischemic or hemorrhagic lesion.Scattered T2/FLAIR high signal intensity periventricular white matter and subcortical white matter are seen, these lesions represent most likely nonspecific small vessel ischemic disease.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.No evidence of acute ischemic or hemorrhagic lesion.2. Nonspecific small vessel ischemic disease.