New onset seizure with left temporoparietal localization. Given gross patient motion throughout the examination and inability to cooperate, the examination protocol was changed and the seizure localization specific sequences were not performed. There is no mass-effect or brain herniation. Accounting for patient motion, there is no gross intracranial hemorrhage or gross acute infarct. Mild-to-moderate periventricular frontoparietal confluent T2-hyperintensity probably reflect microvascular ischemia. There is also dilatation of the ventricular system and the other CSF-containing spaces, reflective of underlying moderate brain volume loss. The major intracranial vascular flow voids are preserved.The orbits are notable for bilateral lens replacement. The lobulated right facial mass is markedly T2-hyperintense and T1-hypointense in its posterior larger component but is more solid in its anterior component. It probably arises from the right first gland but is incompletely imaged. There is no associated skull lesion.
1.Limited, incomplete examination, because of patient's gross motion and inability to cooperate.2.There are cerebral white-matter changes of chronic microvascular ischemia and global brain volume loss. There is no gross signs of acute ischemia/infarct or intracranial hemorrhage.3.Large right facial mass probably arises from the right parietal gland and shows findings suggestive of being partly cystic and partly solid. However, the mass is not completely assessed.