Findings
- Marked age-advanced frontal and temporal lobe volume loss with ex vacuo enlargement of the lateral ventricles
- The degree of atrophy is more pronounced in the right hemisphere relative to the left
- Mild patchy periventricular T2/FLAIR signal hyperintensity
Diagnosis
Frontotemporal lobar degeneration (FTLD)
Sample Report
No acute intracranial abnormality.
Marked age-advanced frontal and temporal lobe volume loss with ex vacuo enlargement of the lateral ventricles. The degree of atrophy is more pronounced in the right hemisphere relative to the left. These findings raise concern for frontotemporal lobar degeneration (FTLD) with the right-sided predominance most typical for the behavioral variant of frontotemporal dementia.
Discussion