11 years Female (DOB:11/7/2004)Reason: Please evaluate for tumor or dysplasia - seizure focus History: Complex partial epilepsy with staring and eye fluttering, seizure focus R frontal on EEGPROVIDER/ATTENDING NAME: CHALONGCHAI PHITSANUWONG YULIYA YANOVSKAYA The CSF spaces are appropriate for the patient's stated age with no midline shift. The hippocampi appear symmetric bilaterally. No abnormal signals appreciated within the hippocampi. No abnormal enhancing lesion is appreciated hippocampi.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There is a T2 hyperintense well circumscribed mass present in the left parotid gland measuring 31 x 24 mm coronal dimensions. There are additional nodules scattered in the left and right upper neck measuring up to 16 mm short axis diameter.
1.There are multiple lesions present in the upper neck in particular in the left parotid space but also along the jugular chains. There is concern for lymphadenopathy and possibly a mass in the left parotid gland. This is incompletely imaged on this exam which is tailored for the brain and not the neck. If clinically appropriate evaluation of the patient's neck may be of benefit.