I I am 65 year old female with MRI Brain W and WO contrast. Need help understanding findings: Generalized atrophy, age concordat with mild confluent periventricular white matter T2 hyperintensity and a few scattered nonspecific white matter T2hyperintensities in the deep white matter tracts but rather minimal. These are nonspecific and may be due to chronic Microvascular ischemia/scoliosis but can be secondary to demyelinating process, vasculitis or associated with migraine headaches. There are no areas of abnormal increased signal on diffusion-weighted images to suggest acute or subacute infarction. No parenchyma hemmorrhage seen. There is no mass or midline shift is seen or abnormal area parenchyma or meningeal contrast enhancement. Normal flow signal void is seen within the major intracranial arteries. The visualized portions of the paranasal sinuses and mastoid air cells are well aerated. Impression: generalized atrophy and mild periventricular leukomalacia. No acute process identified.