Very extensive white matter T2 hyperintensity seen throughout both cerebral hemispheres, which is non-specific, but suggests chronic small vessel ischaemia, particularly in a patient with hypertension. No punctate regions of susceptibility induce signal dropout to suggest microhaemorrhages of cerebral amyloid angiopathy or hypertension.
The corpus callosum is thinned particularly anteriorly, associated with quite pronounced cerebral volume loss, which is perhaps marginally more noticeable in the frontal and anterior temporal regions. There is little left/right asymmetry, especially when coronal images are corrected for slight tilt of the patient. The hippocampal heads are volume depleted, as are the parahippocampal gyri and inferior temporal gyri, also more marked anteriorly.
Cerebral blood volume (CBV) appears reduced throughout both cerebral hemispheres.