 The lacrimal glands are slightly prominent but symmetric and without focal lesions. The optic nerves are symmetric and normal in size and signal intensity. There is no suspicious intraorbital mass or abnormal enhancement. There is no chiasmatic mass or parasellar abnormality. The extraocular muscles are unremarkable. There are scattered patchy foci of T2 hyperintensity within the supratentorial white matter. Mild prominence of the bilateral parotid glands also seen. Small left intraparotid lymph node. No suspicious salivary gland lesions are seen. No significant cervical lymphadenopathy.
1.Mild symmetric enlargement of the bilateral lacrimal glands and slight prominence of the bilateral parotid glands compatible with known Sjogren's. No priors are available for comparison; however, no aggressive features are seen to suggest lymphoma. 2.Scattered patchy foci of T2 hyperintensity within the supratentorial white matter are nonspecific but compatible with mild chronic small vessel ischemic changes. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.