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In view of the presenting history, there is minimal non-specific microvascular change with negative diffusion imaging excluding a hyperacute/acute or early subacute ischemic event. MRA is normal.S WI demonstrates a right parietal lobe punctate chronic microheamorrhage.
Incidental bilateral parotomegaly with diffuse, bilateral, solid and cystic masses suggestive of benign lymphoepithelial lesions. There is associated nasopharyngeal lymphofollicular hyperplasia. There is minimal anterior cervical lymph adenopathy. There is no associated submandibular or sublingual gland involvement on limited views.
Incidental uncomplicated acute on chronic sinusitis.