76 years Female (DOB:8/8/1939)Reason: History of systemic and CNS lymphoma. Please restage History: memory lossPROVIDER/ATTENDING NAME: KENNETH STUART COHEN KENNETH STUART COHEN The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a burr hole present along the left frontal bone. A prior ventriculostomy tract extends into the left lateral ventricle from the burr hole.There is T2 signal hyperintensity and FLAIR signal hyperintensity along the anterior aspect of the corpus callosum where the patient's prior CNS lymphoma was.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal 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.Metal artifact partially obscures imaging on some of the pulse sequences affected by susceptibility artifact in the region of the right frontal lobe and right temporal lobe especially.
1.No abnormal enhancing lesions are appreciated intracranially to suggest CNS lymphoma.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.The patient status post left frontal bone burr hole placement.