Memory impairment. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered cerebral and pontine white matter T2 hyperintensity. There are also areas of high T2 signal in the bilateral basal ganglia. 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 grossly unremarkable. There is a punctate fluid signal lesion in the left lateral eyelid region. There is also a subcentimeter fluid signal rounded lesion in the anterior parotid gland.
1. Scattered cerebral and pontine white matter T2 hyperintensity are nonspecific, but may represent chronic small vessel ischemic disease. Likewise, areas of high T2 signal in the bilateral basal ganglia may represent chronic lacunar infarcts. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. A subcentimeter fluid signal rounded lesion in the anterior parotid gland may represent a cyst or focal ductal dilatation. Dedicated imaging of this area may be useful for further evaluation.3. A punctate fluid signal lesion in the left lateral eyelid region may represent hidradenitis suppurativa.