Cognitive concerns. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is fluid in the bilateral mastoid air cells. There is mild scattered paranasal sinus mucosal thickening.
1. Mild scattered cerebral white matter T2 hyperintensity is nonspecific, but may represent chronic small vessel ischemic disease. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Mild diffuse cerebral volume loss.3. Nonspecific fluid in the bilateral mastoid air cells.