 There are a few scattered foci of T2 hyperintensity primarily in subcortical white matter locations without restricted diffusion, mass effect, susceptibility and amount, or enhancement. There is diffuse volume loss with a specific lobar predominant atrophy pattern. The ventricles are unremarkable in size or shape without evidence of hydrocephalus.. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses are clear. Fluid is noted within a few bilateral mastoid air cells (left greater than right). There is no abnormal enhancement within the brain.
1.Mild chronic small vessel ischemic disease.2.Mild diffuse volume loss with a specific lobar predominant atrophy pattern.3.Fluid is noted within a few bilateral mastoid air cells (left greater than right).