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Global brain atrophy. Mainly pronounced corticosubcortical atrophy left parieto-occipital with shrunken gyri with a 'mushroom'-like appearance and with signal alterations (because of gliosis).
Secondary to the atrophy there is a widening of the left posterior horn of the lateral ventricle as well as very large CSF space bilaterally anterior temporally. Aberrant configuration of the left lateral sulcus (Sylvian fissure). Left hippocampal atrophy.
Normal location of the falx. No diffusion-restricted brain parenchyma lesions.
Conclusion:
Global brain atrophy mainly of the left hemispherical with bilateral (left more than right) ulegyria.