Left neck mass. There is a skin marked overlying the left cheek. There is a fat signal intensity mass within the anterior superficial left parotid gland that measures up to 3 cm. The other salivary glands and upper aerodigestive tract are unremarkable. There is no evidence of significant lymphadenopathy in the images portions of the neck. There is a retropharyngeal right carotid artery flow void. The orbits are grossly unremarkable. There appears to be a nodule within the isthmus of the thyroid gland. There is diffuse cerebral volume loss and chronic left cerebellar and right caudate infarcts superimposed upon a background of diffuse cerebral white matter chronic ischemic disease.
1. Left parotid lipoma measuring up to 3 cm.2. Apparent nodule within the isthmus of the thyroid gland, which is otherwise incompletely characterized. A thyroid ultrasound may be useful for further evaluation.3. Diffuse cerebral volume loss and chronic left cerebellar and right caudate infarcts.