87-year-old female with history of memory loss. There is extensive periventricular and subcortical white matter increased T2 signal abnormality. There is no evidence of acute ischemic infarction. There is a subcentimeter focus of susceptibility effect within the right precuneus. There is diffuse cerebral volume loss with perhaps slightly more pronounced involvement of the bilateral medial temporal lobes. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Diffuse cerebral volume loss with perhaps slightly more pronounced involvement of the bilateral medial temporal lobes, which may suggest Alzheimer's disease.2. Extensive cerebral white matter is nonspecific, but may be the sequela of chronic small vessel ischemic disease.3. Nonspecific subcentimeter focus of chronic microhemorrhage or calcification within the right parietal lobe.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.