67 years Female (DOB:8/15/1948)Reason: Primary CNS lymphoma status post treatment. History: Primary CNS lymphoma status post treatment.; please compare with previous MRI done here and the outside MRI images.PROVIDER/ATTENDING NAME: CHADI NABHAN CHADI NABHAN There is some exact effect on the frontal horn of the left lateral ventricle. There is a T2 and FLAIR signal hyperintense focus present adjacent to the frontal horn of the left cerebellar ventricle measuring 13 x 32 mm in axial dimensions which is unchanged compared to prior exam. There is no associated contrast enhancement. Signal hyperintensity along the left corticospinal tract and atrophy of the left cerebral peduncle suggest Wallerian degeneration. There is a burr hole present along the left frontal calvarium.There is a T2 and FLAIR hyperintense focus present in the left parietal bone which was also present on the prior exam and has not changedNormal 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.
There is no interval change. There is no evidence for recurrence of the patient's known lymphoma. The appearance of the bed of the lesion in the left frontal periventricular white matter is stable. There are findings which are compatible with a wallerian degeneration.