 Brain MRI:The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain. There is a subtle tuft of enhancement within the distal right IAC which does not extend laterally to involve the inner ear structures or along the labyrinthine facial nerve segment to the geniculate ganglion. The left ICA is unremarkable in appearance. There are no masses or enhancing lesions in the cerebellopontine angle cisterns bilaterally. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. There are no vascular anomalies.Cervical spine MRI:There is straightening of the cervical spine which is likely positional. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There are no significant degenerative changes or stenoses. Axial T2 technique demonstrates an approximately 4 mm focus of hyperintensity within the posterior left thyroid gland.
1.There is a subtle tuft of enhancement within the distal right IAC which does not extend laterally to involve the inner ear structures or along the labyrinthine facial nerve segment to the geniculate ganglion.2.Axial T2 technique demonstrates an approximately 4 mm focus of hyperintensity within the posterior left thyroid gland. This is nonspecific in appearance, and a femur clinically beneficial thyroid ultrasound could further characterize.3.Findings were discussed with Dr. Reeti Raychaudhuri on 6/6/2016 at approximately 9:45 AM.