Left gaze preference, dysarthria, evaluate for ischemic stroke. MRI Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular and subcortical T2 white matter hyperintensity suggestive of chronic small vessel ischemic disease. The brain parenchyma otherwise appear unremarkable. 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 right maxillary mucous retention cyst. The orbits and skull are grossly unremarkable. There is a 4 mm thick left frontal scalp lipoma.MRA Brain and Neck: There is no significant steno-occlusive disease involving the major head and neck arteries. There is no evidence of cerebral aneurysms. There is an incompletely evaluated mass that measures at least up to 5 cm within the left thyroid lobe region, which displaces the left carotid vasculature laterally.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No evidence of aneurysm, high-grade stenosis, or occlusive thrombus in the major head and neck arteries.3. Partially imaged left thyroid mass.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.