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Generalized atrophy of brain parenchyma is common finding at this age.
This occur as part of normal again process.
This is no pathological and requires no treatment.
White matter small vessels occur due to blockage of smallest arteries supplying the white matter.
This also occur with advancing age is common finding.
White matter is effected due to narrowing of small vessels supplying them.
These white matter changes can be related to dementia. Clinical consequence of the presence of white matter changes in relation to dementia is still unclear.