Hello Sir. I'm currently testing my patient for dizziness. His MRI W/O states the following:Findings:

There is mild to moderate generalized cerebral and
cerebellar volume loss with commensurate widening of the
ventricles, cortical sulci and extra-axial spaces. Midline
structures are in normal position without evidence for mass or
mass effect. Scattered foci of T2/FLAIR hyperintensity are
present in the periventricular and deep white matter bilaterally.

These are nonspecific, but most likely represent chronic small
vessel ischemic changes. There is no evidence of acute infarct or
hemorrhage. No abnormal intra-or extra-axial fluid collections
are seen. The brainstem and posterior fossa structures appear
relatively intact and unremarkable. Sinuses, mastoid and orbits
are within normal limits.


Impression:
Mild to moderate generalized volume loss and small vessel
ischemic changes without evidence of acute intracranial
abnormality or mass.