5 years, Male, tongue and palate palsy. Rule out abscess, stroke, or other intracranial abnormality. Brain: There is susceptibility artifact related to EEG leads which degrades some of the sequences. Brain parenchyma appears within normal limits. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No extra-axial collections. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. Sella and orbits are grossly within normal limits. Mild mucosal thickening is noted in the right maxillary and sphenoid sinuses. Neck: There is prominence of the adenoidal and palatine tonsillar tissue. There is also mild prominence of the bilateral lateral retropharyngeal lymph nodes as well as additional bilateral cervical lymph nodes throughout the neck. For example a right level 2 lymph node measures 11 mm in the short axis. No fluid collections in the neck. No lesions involving the skull base are appreciated. Visualized salivary glands appear unremarkable. Airway is patent. Visualized cervical spine is unremarkable.
1. Brain MRI appears within normal limits. Specifically no evidence of infarct or intracranial abscess.2. Prominence of the nasopharyngeal and oropharyngeal lymphoid tissue as well as mild prominence of the cervical lymph nodes. These findings are nonspecific and may be reactive. Lymphoproliferative disorder may also be considered in the appropriate clinical setting. No fluid collections or other masses in the neck.