59-year-old male with aphasia and post transplant lymphoproliferative disorder, concern for CVA, mass or lymphoma. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are nonspecific foci of increased T2 signal in the subcortical white matter, cerebellum and brainstem, as well as confluent areas of increased T2 signal in the periventricular white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is an approximately 21 x 28 x 53 mm mass just medial to the right carotid artery, which displaces the carotid artery laterally and was present on the prior CT neck examination, although it appears slightly increased in size. There is partially imaged upper cervical lymphadenopathy. Otherwise, the orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Mass just medial to the right carotid artery, which appears increased in size from the prior CT examination, which may relate to the patient's post transplant lymphoproliferative disorder, although infection is a differential consideration.2.No evidence of acute intracranial hemorrhage, mass, or acute infarct.3.Nonspecific foci of increased T2 signal in the subcortical and white matter, as well as the cerebellum, and brainstem, suggestive of small vessel chronic ischemic disease.4.Partially imaged upper cervical lymphadenopathy.