67-year-old male with upper and lower left-sided weakness and history of metastatic bladder cancer, rule out metastatic disease. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. There are scattered nonspecific punctate foci of high T2 signal in the periventricular and subcortical white matter. 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 a 1.7 x 1.2 cm enhancing mass in the right anterior masticator space. There is a partially-imaged nodule in the left posterior upper neck subcutaneous tissues. Otherwise, the orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.A mass in the right anterior masticator space likely represents a metastasis. Another partially-imaged nodule in the left posterior upper neck subcutaneous tissues may also represent a metastasis.2.No evidence of intracranial metastases or acute infarction.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.