Demographics:
75 years old, Male
Indication:
Dementia
Case #1
Findings
- Symmetric volume loss involving both temporal lobes and hippocampi with ex vacuo enlargement of the temporal horns of both lateral ventricles, which is out of proportion to the degree of generalized cerebral and cerebellar volume loss
- Patchy T2/FLAIR hyperintensity in the subcortical and periventricular white matter, which although nonspecific likely relates to chronic small vessel disease
- T2 hyperintense lesion extending from the posterior aspect of the right nasal cavity into the nasopharynx, likely a polyp
- Bilateral ethmoid air cell mucosal thickening
- Bilateral pseudophakia
- Anterolisthesis at C3-C4 results in mild spinal canal narrowing
Diagnosis
Alzheimer disease
Sample Report
Advanced bilateral temporal and hippocampal volume loss out of proportion to the over degree of cerebral atrophy, which can be seen with Alzheimer disease.
No acute intracranial abnormality.
Discussion