What is frontal cortical atrophy as described with mild asymmetry at the level of the sylvan fissures?

Answer:
Break it down into less intimidating portions:

Frontal cortical- front half of the brain

Sylvan fissures- these particular "wrinkles" in the brain seperates the frontal and temporal lobes

Effectively the front portion of the brain is wasting away and there is an uneveness in the brain in the area that seperates the front and back portions.

Best of luck for you and yours. That's a fairly rough Dx.
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