Impaired delay recall. Evaluate for vascular dementia due to increased memory difficulties. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There are scattered punctate foci and confluent areas of abnormal T2 hyperintensity within the periventricular and subcortical white matter, which are non-specific, but most consistent with stable mild chronic small vessel ischemic changes. There are scattered foci of susceptibility artifact, likely representing hemosiderin deposition from chronic microhemorrhage. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There are mucous retention cysts in the bilateral maxillary sinuses.
1. No evidence of intracranial hemorrhage, mass, or acute infarct.2. Stable mild chronic small vessel ischemic changes.