Facial droop and dysarthria. The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. The inner ear structures, including the cochlea, vestibule, endolymphatic duct, and semicircular canals, appear unremarkable. The bilateral mastoid air cells and middle ears also appear unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. 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 skull and orbits are unremarkable. There is a 12 mm thick right occipital scalp lipoma. There is a subcentimeter left maxillary sinus retention cyst.
Mild probable chronic small vessel ischemic disease, but no evidence of intracranial hemorrhage, mass, or acute infarct.