Seemingly recurrent facial palsy originally diagnosed as Bell's palsy and treated with steroids with a partial response 1 year ago. This has been seen in the past, but it could simply mean a variant reinnervation as a cause. The imaged portions of the bilateral facial nerves appear unremarkable. Indeed, the bilateral internal auditory canals and cranial nerve 7 and 8 complexes are unremarkable. There is no abnormal enhancement along the imaged portions of the facial nerves. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. 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, and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
1. No evidence of proximal facial nerve lesions.2. No evidence of intracranial hemorrhage, mass, or acute infarct. 