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Marked asymmetric atrophy of the frontal pole of the left temporal lobe as well as the left frontal opercular region. The left fusiform and inferior temporal gyri are particularly atrophic with dilated temporal horn. Associated mild increased subcortical FLAIR signal. The rest of the brain, including the hippocampi demonstrate involutional change, exaggerated for age.
No intra-cranial mass lesions, acute haemorrhages or collections. No acute or established infarcts. Mild bi-hemispheric chronic white matter ischaemic change. Small anterior falcine calcification.
Findings are in keeping with language variant of frontotemporal dementia.