68 years, Male, memory difficulty. Evaluate for hippocampal atrophy. Remote history of epilepsy. There is mild global parenchymal volume loss which appears appropriate for patient's age. There is mild volume loss involving the bilateral hippocampi which does not appear to be disproportional to the remainder of the brain. No abnormal FLAIR signal involving the hippocampi or evidence of mesial temporal sclerosis. Several scattered foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with minimal chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
Brain parenchyma appears within normal limits for age. There are minimal chronic small vessel ischemic changes. There is also fairly mild global parenchymal volume loss including the hippocampi, but appears age-appropriate.