Cognitive decline, memory loss. No intracranial mass or mass-effect is seen, although absence of intravenous gadolinium slightly limits evaluation for small lesions. There is mild global parenchymal volume loss. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter as well as pons, which are nonspecific, but compatible with mild chronic small vessel ischemic disease. Brain parenchyma is otherwise unremarkable for age. Nonspecific focus of hyperostosis noted adjacent to the left squamosal temporal bone as seen on prior CT without significant mass effect. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No hydrocephalus. Major flow-voids are preserved.There is pansinus opacification which appears improved compared to prior CT from 7/29/2013, with evidence of interval endonasal sinus surgery. There is dental hardware artifact. Sella and orbits are grossly within normal limits. Mastoid air cells are clear. Bone marrow signal is within normal limits.
1. MRI brain without gadolinium demonstrates no intracranial mass or mass-effect. Mild chronic small vessel ischemic changes.2. Mild global parenchymal volume loss.3. Pansinus disease is improved compared to prior CT with evidence of interval endonasal sinus surgery.