Diagnosis: Alzheimer's disease, unspecifiedDementia in other diseases classified elsewhere without behavioral disturbanceClinical question: Cognitive decline - assess for masses/CVAsSigns and Symptoms: Progressive global cognitive impairmentComments: Patient had surgery on her elbow many years ago and is not sure whether there is metal in her. She doesn't believe there is. | The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There is atrophy of the brain mainly involving the parietal lobes.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.There is no evidence for intracranial mass lesion.2.No evidence for acute ischemic cerebral infarction.3.Findings suggest some brain atrophy involving the parietal lobes bilaterally. This is could be associated with Alzheimer's disease. Please correlate with clinical findings.4.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 