Atypical parkinsonism: dysfluency, tremors. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There may be a punctate left hippocampal fissure remnant cyst. There is minimal nonspecific cerebral white matter T2 hyperintensity. There is a right parietal lobe developmental venous anomaly. The substantia nigra and the rest of the brainstem appears unremarkable. The ventricles and basal cisterns are unchanged in size and configuration. 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.