Memory loss. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild patchy bilateral cerebral white matter T2 hyperintensity. There are punctate foci of encephalomalacia in the inferior left cerebellar hemisphere and right middle frontal gyrus cortex. There is diffuse cerebral volume loss, which is most pronounced in the bilateral medial temporal lobes. There is no midline shift or herniation. The distal basilar artery flow void appears to be diminutive. The other major cerebral flow voids are grossly intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a right lens implant. There is a partially imaged nodule in the subcutaneous tissues of the left upper lateral neck.
1. Mild cerebral white matter small vessel ischemic disease and a punctate inferior left cerebellar chronic and right middle frontal gyrus cortical infarcts, but no evidence of acute intracranial hemorrhage, mass, or acute infarct. 2. Diffuse cerebral volume loss that is most pronounced in the bilateral medial temporal lobes can be a manifestation of Alzheimer dementia.