It will help if we know the age of our patient. Some amount of diffuse cerebral atrophy is normal with increasing age. Cerebral atrophy can also be seen in Dementia.
Periventricular area is in the white matter. White matter hyperintensities can be seen in vascular dementia. The MRI suggests occlusion (may be due to fat deposits) of small blood vessels in the brain.
Can you mention the symptoms ? They will help us think in the right direction.
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