Seizure. Some sequences are missing, as the study was terminated prematurely. There is a punctate focus of diffusion restriction in the right anterior cingulate gyrus, adjacent to the genu of the corpus callosum. There are small areas of encephalomalacia in the right midbrain and posterior limb of the internal capsule, left caudate, and left thalamus. Additional scattered periventricular and subcortical white matter T2 signal hyperintensity. There is mild global brain parenchymal volume loss. There is no mass effect, midline shift, or herniation. There is no evidence of gross intracranial hemorrhage on this limited exam. The major cerebral flow voids are intact. There is a 2 cm well-circumscribed mass within the left parotid gland. There are postoperative findings related to right parietal craniotomy. There are bilateral lens implants. There is degenerative spondylosis in the imaged upper cervical spine.
1.Acute punctate lacunar infarct in the right anterior cingulate gyrus, chronic infarcts in the right midbrain and posterior limb of the internal capsule, left caudate, and left thalamus, and a background of findings compatible with chronic microvascular ischemic disease.2.Partially imaged left parotid mass may reflect a benign mixed cell tumor, perhaps with associated focal ductal obstruction, but can be further evaluated with dedicated imaging as clinically warranted.3.Degenerative spondylosis in the imaged upper cervical spine.Findings were discussed via telephone with Dr. Harris at 10:20 AM on 03/19/2016.