Cognitive impairment. Rule out reversible causes for dementia. There is fairly symmetric moderate brain volume loss involving the parietal lobes and to lesser extent the frontal lobes with relative sparing of the occipital and temporal lobes. This results in expansion of the ventricles and sulci as well as basal cisterns. This has slightly progressed since previous MRI from 2010. There is moderate involvement of the cerebral white matter and brainstem by hyperintense lesions which likely reflect microvascular ischemia and is unchanged to very minimally increased compared to the previous 2010 MRI. The anterior communicating artery aneurysm remains grossly unchanged, compared to the previous CT angiogram from November 7, 2012. There is no acute infarct or intracranial hemorrhage. There is no mass-effect, midline shift or brain herniation. Major vascular flow voids are preserved.The orbits are notable for findings of previous cataract surgery.
1.Moderate symmetric brain volume loss is most pronounced in the parietal lobes and to a lesser extent the frontal lobes, with relative sparing of the occipital and temporal lobes. This has slightly increased since the 2010 brain MRI.2.Moderate chronic microvascular ischemia, unchanged to very minimally increased since April 2010.3.Grossly unchanged anterior communicating artery aneurysm.