Parkinsonism. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The bilateral nigrosome 1 regions are possibly abnormal. There are a few scattered nonspecific punctate foci of cerebral white matter T2 hyperintensity. 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, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of acute intracranial hemorrhage, mass, or acute infarct. The bilateral nigrosome 1 regions are possibly abnormal, which can be a manifestation of Parkinson disease.