There is relatively symmetric cortical reduced diffusivity along both medial frontal and parietal lobes and insular cortices left greater than right. There is also reduced diffusivity within the caudate nuclei, putamen, and medial thalami.
The ventricles and sulci are mildly prominent reflecting a mild degree of parenchymal volume loss. There are mild scattered foci of T2/FLAIR hyperintensity within the periventricular and subcortical white matter. There appears to be previous cataract surgery.