Female, 78 years old, with cognitive decline. Assess for structural lesions. No evidence of restricted diffusion, parenchymal edema or mass effect is seen. Fairly extensive patchy periventricular and subcortical T2 hyperintense lesions are noted in both cerebral hemispheres and to a lesser degree in the brainstem. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles and sulci are mildly but proportionately prominent and are otherwise within normal limits.
1.No acute intracranial abnormality.2.No evidence of any significant structural lesion.3.Fairly extensive patchy white matter signal abnormality likely represents chronic microvascular ischemic disease.