 Brain: There is no restricted diffusion to suggest acute ischemia. Scattered predominantly subcortical white matter T2 hyperintense foci are nonspecific, unchanged in number and distribution compared to 1/29/2015. Otherwise, the signal intensity within the brain parenchyma is unremarkable. There is no abnormal focus of enhancement. The ventricles and sulci are normal in size. No regional mass effect, midline shift, or herniation. The visualized orbits are normal. The paranasal sinuses are grossly aerated. There is a small amount of fluid in the right mastoid air cells, unchanged. Flow voids are visualized in the major vessels of the intracranial circulation indicating patency.Neck:Nasopharynx, oropharynx, and hypopharynx are unremarkable without mass lesion or abnormal enhancement. Parotid and submandibular glands are normal in appearance without mass lesion. There is a 2 cm cyst in the right thyroid lobe. There are multiple predominantly subcentimeter lymph nodes in the neck measuring up to 1 cm at level II on the right (series 14, image 20). The airway is patent. Expected vascular flow voids are present demonstrating patency.
1.Scattered predominately subcentimeter cervical lymph nodes measuring up to 1 cm at level II on the right.2.MRI brain without significant interval change. Scattered T2 hyperintense foci in the subcortical and periventricular white matter are nonspecific.