Malignant neoplasm of base of tongue and confusion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal scattered punctate foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the inferior bilateral mastoid air cells.
No evidence of intracranial metastases or acute infarct. Minimal scattered punctate foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease. 