Right lower facial droop. History of Parkinson disease and CLL. ? Bell's palsy. There is no acute infarct or intracranial hemorrhage. Tiny T2 FLAIR hyperintense foci in the frontoparietal white-matter, are more pronounced on the left side, are nonspecific but reflect chronic microvascular ischemia. The CSF-containing spaces are mildly enlarged, reflecting underlying volume loss. There is no midline shift or brain herniation. There is no abnormal extra-axial fluid collection. Major intracranial vascular flow voids are preserved, reflecting gross vessel patency. There is no abnormal brain contrast enhancement. There is no definite abnormal enhancement along the course of the facial nerves.Orbits are notable for changes of previous bilateral cataract surgery. Mastoid air cells are clear. Minimal mucosal thickening is present in the inferior aspect of the maxillary sinuses. There is no destructive skull lesion. Hyperostosis frontalis interna is a common finding. There is a focal erosion or cyst involving the dens, probably degenerative in nature.
1.There is no acute brain infarct or intracranial hemorrhage.2.Mild chronic microvascular ischemia.