Parkinson disease. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is blurring of the substantia nigrosomes bilaterally. There is mineralization of the bilateral globi pallidi. There is mild nonspecific cerebral white matter T2 hyperintensity. The ventricles and sulci are mildly prominent due to cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. There are bilateral lens implants. There is mild scattered paranasal sinus inflammatory disease.
Findings compatible with Parkinson disease. No evidence of acute intracranial hemorrhage, mass, or acute infarct.