 This exam is limited as the patient terminated the exam early prior to the completion of susceptibility weighted imaging and coronal T2 weighted imaging. There is no evidence of acute infarct. There are no areas of abnormal parenchymal signal. 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 is unchanged diffuse marrow replacement. There is an unchanged retention cyst within the right sphenoid sinus. There is unchanged proptosis. There is unchanged T1 and T2 hyperintensity invaginating into the superficial left parotid lobe that likely represents normal fat or possibly a small lipoma.
1.No evidence of acute ischemia.2.Unchanged proptosis of uncertain etiology or significance.3.Unchanged diffuse marrow replacement that is nonspecific and of uncertain etiology.4.Unchanged right sphenoid retention cyst. 