dementia, visuospatial poor but attention fairly preserved. No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal patchy high signal intensities on bilateral periventricular white matter indicate non specific small vessel ischemic disease.Prominent sulci may indicate mild brain atrophy.The ventricles, sulci and cisterns are symmetric and unremarkable.There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.The left maxillary sinus shows fluid collection.
No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal brain atrophy.Otherwise unremarkable brain MRI.