CN-VII bilateral weakness with complete facial weakness. The cisternal segments of the bilateral facial nerves are grossly intact. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. 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 and scalp soft tissues are grossly unremarkable. The bone marrow is diffusely hypointense on T1 and T2, perhaps due to anemia or renal osteodystrophy. There is a subcentimeter left maxillary sinus retention cyst. There is a mild right mastoid effusion.
The cisternal segments of the bilateral facial nerves are grossly unremarkable, although assessment is limited without intravenous contrast. No evidence of intracranial hemorrhage, mass, or acute infarct.