Memory decline. Assess for structural cause. There is mild diffuse cerebral and cerebellar volume loss. There are mild scattered foci of subcortical and periventricular white matter T2 hyperintensity. There is also a punctate focus of susceptibility in the right occipital lobe compatible with a small prior microhemorrhage. There are mildly prominent perivascular spaces in the bilateral basal ganglia. There is no evidence of acute intracranial hemorrhage, mass, or acute infarction. The expected intracranial vascular flow voids are present. There is mild scattered paranasal sinus mucosal thickening and retention cyst in the right sphenoid sinus. There are bilateral lens implants.
1. Mild scattered cerebral white matter T2 hyperintensities which are nonspecific, but likely represent chronic small vessel ischemic disease.2. Nonspecific diffuse cerebral and cerebellar volume loss. 