Dr. Hanif warmly Welcomes you! Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. She has small loss of Cerebral parenchymal loss which is normal in her age group (although you didn t mention her age but its obvious she is above 50). Small vascular changes are seen but again its normal to age, as there is no cerebrovascular disease found. Dementia and insomnias are sometimes due to hemorrhage in the brain and compression on the brain tissue to make it atrophied and nonfunctional. There is nothing in her like this. You may consult a Neurologist for any possibility of dementia. Most important is to examine her physically and performing some tests directly on her. Take her to a Neurologist and he will do the rest of the job. Hope I answered all of your health concerns . If you have further questions in future, feel free to contact me anytime. In the start of your question write my name, and I will get back to you in no time. If satisfied, please click you found it helpful. Have a wonderful time ahead. Best Regards! DR. MUHAMMAD M. HANIF USA