73 years, Male, mild cognitive complaints, memory decline. No intracranial mass or mass-effect. No restricted diffusion to suggest acute ischemia. There is mild global parenchymal line loss, which is commensurate with patient's age. The ventricles are within normal limits in size and configuration. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. Few scattered foci of susceptibility effect are noted including the left frontal lobe, left temporal lobe, and left cerebellar vermis compatible with chronic microhemorrhages and are in a nonspecific distribution. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. Mildly prominent lymph nodes are again seen involving the occipital soft tissues as well as the left parotid gland and grossly similar to prior CT neck from 8/12/2014, allowing for differences in technique. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of intracranial mass or mass effect. No abnormal parenchymal or meningeal enhancement.2. Mild chronic small vessel ischemic disease.3. Scattered foci of susceptibility effect compatible with chronic microhemorrhages. These are in a nonspecific distribution.4. Mild global parenchymal volume loss which appears appropriate for patient's age.5. No significant change in mildly prominent occipital and left parotid lymph nodes compared to prior CT neck allowing for differences in technique and may be related to patient's history of lymphoma.