Right nasolabial fold shallowing, with possible parkinsonism. There is mild asymmetric prominence of the susceptibility effect in the medial substantia nigra on the right side. The substantia nigra otherwise appears to be gross intact. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable, aside from minimal nonspecific periventricular white matter T2 hyperintensity. The right lateral ventricle is slightly larger than the left, which can be an anatomic variant and there is no evidence of ventriculomegaly otherwise. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of acute intracranial hemorrhage, mass, or acute infarct.