PTLD and headache. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged mild scattered nonspecific cerebral white matter T2 hyperintensity. 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. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
No evidence of intracranial post-transplant lymphoproliferative disorder or lymphoma.