Possible CSF malignancy.  This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X.   The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional.  She is not able to use the walker because her left arm is so weak.
Omulwadde akomawo okugoberera kwe okusooka oluvannyuma lw’okulongoosebwa shunt.