Dysarthria. Please evaluate brain stem for infarct/lesion/other that may be causing difficulty with speaking. There is patchy T2 hyperintensity in the pons and cerebral white matter. There is no evidence of acute infarction in the brainstem, however. There are right thyroid nodules, which measure up to 11 mm. There is scattered mild to moderate mucosal thickening within the imaged paranasal sinuses. There is no evidence of significant lymphadenopathy in the neck. There is multilevel degenerative spondylosis with associated mild spinal canal stenosis. The orbits and salivary glands appear unremarkable.
1. Probable chronic small vessel ischemic disease in the pone, but no evidence of acute brainstem infarct. 2. Nonspecific thyroid nodules measuring up to 11 mm. 3. Multilevel degenerative spondylosis with associated mild spinal canal stenosis. 