Forgetfulness and inattention. Cognitive impairments. There is global parenchymal volume loss, mildly prominent for age. There are extensive scattered and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific, but most consistent with extensive chronic small vessel ischemic changes. There is no evidence of intracranial hemorrhage, mass effect, or acute infarct. No hydrocephalus or extra-axial collections. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1. Global parenchymal volume loss with extensive chronic small vessel ischemic changes. 2. No evidence of intracranial hemorrhage, mass effect, or acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.