HIV (CD4 250) with new bony nodule on the forehead, dizzy spells, blurry vision and new headache. There is a 9 x 2 mm T1 and T2 hyperintense crescentic mass beneath the left frontal galea with loss of signal on fat suppression sequence, most likely representing a lipoma. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable without evidence of abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are T1 hypointense and T2 isointense lesions within the right greater than left parotid glands, largest measuring 12 x 7 mm on the right. The skull and extracranial soft tissues are otherwise unremarkable.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. A 9 mm lesion with imaging characteristics most consistent with a left frontal subgaleal lipoma.3. Small lesions within the right greater than left parotid glands, which may represent intraparotid lymph nodes or benign lymphoepithelial lesions in the setting of HIV.  