Female, 78 years old, with memory loss. Extensive, nearly confluent bilateral periventricular T2 hyperintensity is seen without evidence of mass effect. Diffusion weighted images are normal.No evidence of parenchymal edema is detected. No acute intracranial hemorrhage or any other abnormal extra-axial fluid is seen. Ventricular size and morphology are within normal limits. Mild generalized parenchymal volume loss is suspected but without any specific pattern or distribution.
1. Extensive white matter signal abnormality is nonspecific but would most commonly represent chronic small vessel ischemic disease.2. No definite evidence of any acute intracranial abnormality.3. Mild non specific parenchymal volume loss. 