Diffuse mucocutaneous hemangiomas and possible involvement of the liver requiring further evaluation. Brain: There are several scattered subcentimeter enhancing nodular lesions in the scalp and face. There are also several subcentimeter enhancing lesions with susceptibility effect in the bilateral cerebellar hemispheres. There is no evidence of acute infarct. The supratentorial brain parenchyma and pituitary gland appear unremarkable. 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, without evidence of steno-occlusive lesions, vascular malformations, or aneurysms. The orbits, skull, paranasal sinuses, and mastoid air cells are grossly unremarkable.Neck: There are several scattered subcentimeter enhancing nodular lesions in the neck. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The osseous structures appear to be intact.
1. Several scattered subcentimeter nodular lesions in the skin of the scalp, face, and neck likely correspond to the reported diffuse mucocutaneous hemangiomas. 2. Several subcentimeter posterior fossa lesions may represent metastases from the probable liver hemangioendotheliomas or a spontaneous manifestation of diffuse hemangiomatosis.3. No evidence of deep neck space tumors.