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Some amount of cerebral atrophy and small vessel ischemic disease are quite common in someone your age. Ischemic vessels mean that the small arteries and arterioles become constricted, and don't provide as much oxygen as they should to the brain, which results in the brain shrinking (atrophy).
Someone with this needs to maintain blood pressure within normal limits and the person should be monitored to make sure their oxygen levels are within normal limits.
Please let me know what additional questions you have about this.