Diagnosis: Compression of brain. Memory loss. Other speech disturbance(784.59). Expressive language disorder.Recent neuropsychiatric testing that shows memory loss, speech deficit that map to the temporal lobe. Evaluate for changes. The patient is status post Chiari decompression. There is no evidence for ventriculomegaly.No abnormal 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.
1.Status post Chiari decompression. There is no evidence for temporal lobe mass or lesion to explain the patient's speech disturbance