Hi, Thanks for writing in. 1) Chronic cerebral small vessel disease: There are areas in the brain where the blood flow is slightly less. 2) Cerebral atrophy w/secondary dilation of ventricular system: Changes due to advancing age are seen in the brain. 3) Single tiny focus of diffusion restriction in L parietal lobe (ischemic focus): Small area in brain seen where there might have been deficient blood supply. 4) Moderate microangiopathy change: Small vessel disease due to aging, diabetes or high blood pressure. 5) Probable chronic occlusion right vertebral artery dominant left vertebral supply: decrease in flow of blood to he brain through right vertebral artery. 6) caudate & internal capsule lacunar infracts (R): small areas of deficient blood supply in these areas. 7) Mild intimal thickening in CCA (R&L): consequent decreased blood flow to brain through common carotid arteries due to age related narrowing of the common carotid arteries in the neck region on both sides. Dementia needs to be evaluated clinically. She does not seem to be having AD but needs a thorough clinical examination to know regarding dementia.