 Limited MRI of the brain for pre-op planning demonstrates no intracranial mass. There are unchanged scattered punctate foci of high T2 foci in the cerebral white matter that likely represent chronic small vessel ischemic change. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is minimal mucosal thickening of the bilateral frontal, ethmoid and sphenoid sinuses. There are scattered subcentimeter T2 hyperintense foci within the bilateral parotid glands, left greater than right.
1. Limited MRI of the brain for pre-surgical planning.2. Scattered incompletely characterized T2 hyperintense lesions within the bilateral parotid glands, left greater than right, which may represent benign lymphoepithelial lesions in the setting of HIV, Sjogren's disease or Warthin's tumor. Please correlate clinically. 