assess for cause of memory lossSigns and Symptoms: memory loss, complicated medical history including chemotherapy , NHL in 2001 The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of punctate foci of susceptibility weighted imaging signal loss located in the cerebellar hemispheres, brainstem , left thalamus, left basal ganglia, left frontal subcortical white matter and bilateral periventricular white matter.There is a punctate periventricular white matter lesion present which is high signal on T2 and FLAIR. It is located in the right frontal lobe. In isolation it is of little clinical significance.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is a mild degree of punctate micro hemorrhages located in the cerebellar hemispheres, brainstem , left thalamus, left basal ganglia, left frontal subcortical white matter and bilateral periventricular white matter. The pattern is somewhat non-specific but could be related to prior radiation, chemotherapy or hypertension.