Magnetic Resonance of the skull with volumetric reduction ...

Good afternoon. I have a patient man, 57 years. It is accompanied by an examination "magnetic resonance of the skull", which results in: "volumetric reduction of the cerebral parenchyma and reduction of volume of the hippocampus, more important to the right". I'm a psychoanalyst. I have already done several online surveys and would also like to hear your opinion. Thank you
Expert answer:

Most of the time changes of this type are nonspecific and are not associated with any disease. Senility, smoking and alcoholism are the most common associations in daily clinical practice, after which comes degenerative brain diseases, ideally an assessment of a neurologist, perhaps these changes in hippocampus may have more specific relation to some disease.