83-year-old female presents with cognitive decline. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is moderate periventricular and subcortical cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are prominent compatible with volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Moderate predominantly periventricular white matter T2 hyperintensity is nonspecific, but may reflect chronic small vessel ischemic disease and could conceivably contribute to a component of vascular dementia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.