There is evidence of ventriculomegaly with Evan index measuring 0.35. Additionally, there is a reduced callosal angle (75°) with bowing of corpus callosum, dilated Sylvian fissures, and tight high convexity sulci (DESH), features suggesting normal pressure hydrocephaly.
Periventricular and subcortical hyperintense foci on T2 and FLAIR images without restricted diffusion or mass-effect suggesting small vessel disease.
No intracerebral hemorrhage (ICH), space-occupying lesion, or shift of midline structures is observed.
The brain stem and cerebellum appear normal.
No tonsillar herniation is noted.