 There is no restricted diffusion to suggest acute ischemic infarction. Prominence of the ventricles and cortical sulci is compatible with cerebral volume loss. There is slight predominance of the volume loss in the mesial temporal lobes. Punctate and confluent foci of increased T2/FLAIR signal in the supratentorial white matter as well as the pons is compatible with moderate chronic small vessel ischemic changes. There is no midline shift or herniation. The major cerebral flow voids are intact. A small mucus retention cyst is present within the left maxillary sinus. The midline structures and craniocervical junction are within normal limits.
1.No evidence of acute infarction.2.Moderate chronic small vessel ischemic changes.3.Cerebral volume loss with slight prominence in the mesial temporal lobes which can be seen in the clinical setting of Alzheimer dementia.