Findings:
No intra- or extra-axial mass lesion or collection is identified. The midline structures are normal with no midline shift.
No sign of atrophy of the midbrain or the cerebellum.
Global cortical atrophy score: 2 – volume loss of gyri and moderate ventricular enlargement.
Koedam score for parietal atrophy: 2 – substantial sulcal widening, substantial gyral atrophy.
Mesial Temporal Atrophy: 2 on the right and 3 on the left side – moderate enlargement of the temporal horn, and moderate loss of hippocampal height.
Mild background small vessel ischaemic disease (Fazekas 1).
No evidence of intracranial haemorrhage or any ischaemic event.
Hyperostosis frontoparietalis is noted. The imaged paranasal sinuses and mastoid air cells are clear. Bilateral IOL-implant is in situ.
Impression:
Bilateral parietal lobe atrophy with asymmetrical hippocampal volume loss (L>R), suggestive of Alzheimer’s disease.