What is the most obvious finding?
Abnormal symmetrical signal intensity in the periventricular white matter of both cerebral hemispheres, associated with rarefaction and cystic degeneration which suppresses on FLAIR. Both lateral ventricles appear enlarged.
Abnormally increased white matter signal on T2WI and FLAIR, involving the periventricular white matter of both cerebral hemispheres, extending towards the subcortical U-fibers. These findings are associated with significant white matter volume loss and cystic degeneration, as well as symmetrical curvilinear periventricular areas of restricted diffusion.
The white matter of both temporal lobes is only slightly affected. Presevred brainstem and cerebellar signal. No cerebellar atrophy. The lateral ventricles appear enlarged.