 There are scattered foci of T2 hyperintensity within the white matter without associated restricted diffusion, mass effect, or susceptibility abnormality. There is diffuse volume loss without specific lobar predominant atrophy pattern. There are no findings of ventricular obstruction or hydrocephalus. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. Note is made of a partially empty sella. 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 and mastoid air cells are clear. There is no abnormal enhancement within the brain. Degenerative changes of the upper cervical spine demonstrates some degree of central spinal stenosis at the level of C3/4.
1.Mild chronic small vessel ischemic disease.2.Mild diffuse volume loss.