75 year old male patient with altered mental status and history of lymphoma. Question of lymphomatous involvement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular T2 signal abnormality and a focus of encephalomalacia within the left cerebellar hemisphere. There is mild generalized parenchymal volume loss. The brain parenchyma and pituitary gland otherwise appear unremarkable. There is no abnormal intracranial enhancement.The ventricles and basal cisterns are normal in size and configuration for the patient's age. There is no midline shift or herniation. The major cerebral flow voids are intact. There is mucosal thickening of the right maxillary sinus, ethmoid air cells, and frontal sinus. The orbits, skull, and scalp soft tissues are grossly unremarkable. Degenerative changes affect the bilateral temporomandibular joints. There are partially imaged enlarged and convex contoured left upper cervical lymph nodes.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Mild chronic small vessel ischemic disease and prior left cerebellar lacunar infarct.3. Enlarged left cervical lymph nodes. 