Precuneus atrophy with medial temporal volume loss

There is parietal sulcal widening with atrophy of the precuneus and posterior cingulate gyrus – likely suggestive of Alzheimer Disease

Fazekas grade III chronic small vessel ischemia

A tiny restricted diffusion on DWI in right occipital lobe – may suggest tiny acute embolic infarct versus post ictal signal changes

Lacunar ischemic changes in bilateral capsuloganglionic regions, corona radiata , thalami, corpus callosum