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This scan demonstrates severe atrophy of both the mesial temporal lobes as well as the temporal
lobes more generally with associated prominent compensatory temporal horn ventricular dilatation.
In addition there is quite pronounced albeit less marked atrophy of the frontal lobes, with  ommensurate thinning of the outer half of the body of the corpus callosum. Although the findings are mostly symmetric, there is perhaps marginally more pronounced atrophy on the left side. The parietal,
posterior temporal and occipitoparietal are relatively spared. Posterior fossa appears unremarkable.
Scattered supratentorial deep white matter T2 hyperintensities are consistent chronic small vessel disease. No regions of restricted diffusion or susceptibility artefact.