@neurointerpretation: This patient is only 60 years old... but this scan looks decades older. 📉 You are looking at Ex Vacuo Dilatation—when brain tissue shrinks (atrophy) and fluid expands to fill the empty space. It is a sign of lost volume that you can't get back. Don’t let these 3 silent killers steal your cognitive reserve: 1️⃣ Uncontrolled Blood Pressure 2️⃣ Chronic Alcohol Consumption 3️⃣ Untreated Sleep Apnea #neurology #brainhealth #neurointerpret