Male 64 years old Reason: rule out mass, infection, etiology of dementia History: confusion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Mild global cerebral volume loss, slightly advanced for age, which is nonspecific. There is minimally increased frontal volume loss. There is no disproportionate volume loss involving the hippocampi. No abnormal intracranial enhancement. There is periventricular T2/FLAIR hyperintensity which is nonspecific but likely related to mild chronic small vessel ischemic disease. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No acute intracranial findings. Specifically no evidence of infarct, hemorrhage, or intracranial mass effect.2.Mild chronic small vessel ischemic changes.3.Mild global parenchymal volume loss with slightly increased involvement of the frontal lobes. This finding is nonspecific.