66-year-old male with primary CNS lymphoma diagnosed in 05/2014 (follows with Dr. Nabhan) status post autologous bone marrow transplant with Carmustine and Thiotepa conditioning between 12/2/14 and 12/30/14. He was diagnosed after experiencing gait instability, slurred speech, and cognitive slowing that began in March 2014. History of PCN SNHL status post ABMT for follow-up. There is no significant interval change in size of the lesions in the bilateral basal ganglia, right thalamus and left frontal periventricular white matter, and left cerebellar hemisphere. There is mild intrinsic high T1 associated with many of the lesions without appreciable enhancement. There is no significant interval change in the size and morphology of the ventricular system with unchanged coaptation of the right frontal horn. There is no midline shift or herniation. There is no evidence of intracranial hemorrhage or acute infarct. There is a faint left frontal lobe developmental venous anomaly. There is new mild mucosal thickening of the bilateral ethmoid sinuses. There is mucosal thickening and enhancement with secretions in the bilateral maxillary sinuses. The skull and extracranial soft tissues are otherwise unchanged.
1. No significant interval change in the treated multifocal CNS lymphoma.2. Interval development of acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.