Confusion - newly diagnosed lymphoma. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild nonspecific scattered cerebral white mater T2 hyperintensity, which may represent chronic small vessel ischemic disease. 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. There appears to be a defect in the left orbital floor, with protrusion of orbital fat, which may be related to prior trauma. There is right maxillary and left ethmoid sinus mucosal thickening.
No evidence of acute intracranial hemorrhage, mass, or acute infarct. However, evaluation for CNS lymph is limited without intravenous contrast.