Male, 63 years old, with mantle cell lymphoma, now presenting with vision changes. Scattered small foci of nonspecific T2 hyperintensity are evident within the subcortical white matter of the bilateral cerebral hemispheres. No restricted diffusion is seen. No evidence of parenchymal edema or mass effect is detected. On postcontrast imaging, there is no pathologic parenchymal or extra-axial enhancement. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid is seen. The ventricular system is normal in size and morphology. The globes are round and symmetric. A lens replacement has been performed on the right. Although not a dedicated orbital study, no gross abnormalities of the optic apparatus are seen.
1.Scattered nonspecific white matter lesions are seen which may reflect chronic microvascular ischemic disease.2.No specific findings are evident to account for the patient's symptoms.