Cognitive impairment, prior CVA. There is chronic encephalomalacia in the left precentral gyrus and left occipital lobe. There is also scattered mild cerebral white matter T2 hyperintensity, which likely represent chronic small vessel ischemic disease. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. 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 skull, paranasal sinuses, and scalp soft tissues are unremarkable. There is an unchanged mass in the deep lobe of the left parotid gland that measures up to approximately 25 mm.
1. Chronic infarcts in the left precentral gyrus and left occipital lobe. 2. Probable chronic small vessel ischemic disease.3. Unchanged mass in the deep lobe of the left parotid gland, which may represent a pleomorphic adenoma. 