Gait imbalance. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. 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 orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there is an enhancing lobulated lesion in the subcutaneous tissues of the right cheek overlying the zygomatic arch that measures up to approximately 20 mm. Cervical Spine: The spinal cord displays normal signal and morphology. There is no abnormal enhancement within the spinal canal. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable. There are multiple partially-imaged heterogeneous right thyroid nodules that collectively measure up to at least 25 mm.
1. No evidence of acute intracranial hemorrhage, mass, or demyelinating lesions.2. Multiple partially-imaged nonspecific right thyroid nodules. A thyroid ultrasound may be useful for further evaluation.3. A lesion in the right cheek may represent a vascular malformation or hemangioma. Ultrasound may also be useful for further evaluation of this.