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Can someone help me understand this MRI test result?

Study Result
Impression
]
No acute abnormalities seen in the brain. No mass lesion, acute
infarction, or intracranial hemorrhage is seen.

Minimal diffuse volume loss with mild scattered periventricular and
subcortical small vessel ischemic changes are seen.




Electronically Signed by:  M.D. on 12/28/2017 at 13:11:49

Narrative
EXAM DESCRIPTION:
MRI BRAIN WO CONTRAST

COMPARISON:
No prior imaging of the brain is available for comparison.

CLINICAL INDICATION:
Dementia

TECHNIQUE:
Precontrast T1 weighted sequences were performed using a 3D technique,
and reconstructed in the axial, coronal and sagittal planes; T2, FLAIR,
gradient and diffusion weighted sequences in the axial plane were
performed. Limited T1 inversion recovery sequences in the coronal
plane were performed.

FINDINGS:
No areas of restricted diffusion are seen to suggest an acute major
territorial infarct. No altered gradient susceptibility seen to
suggest hemorrhage. Minimal periventricular and subcortical small
vessel ischemic changes are seen. Mild prominence of the sulcal and
cisternal spaces is seen suggestive of minimal to mild volume loss.
The gray-white matter differentiation is well preserved. The midline
structures show no significant acute abnormalities.

No acute sinus or mastoid disease is seen. Bilateral orbits show no
acute abnormalities.
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