###Human: Please explain the diagnosis of MRI result. ###Assistant: Hello. I read carefully and reviewed the patient MRI report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive dementia. These changes are probably related to small vessel disease of the brain (chronic changes in small brain vessels caused by uncontrolled diabetes, dyslipidemia, hypertension, smoking, etc.). There is also a subdural collection, which is causing mild compression on the left frontal lobe. I would recommend consulting with a neurosurgeon about this. I would also recommend to closely monitor his blood pressure values, periodically check his fasting glucose and blood lipid profile. If dementia is present (memory troubles, confusion), I would recommend treatment with Donepezil or Memantine. Hope to have been helpful. For more information consult a neurologist online -->