Diagnosis: Paralysis agitans. Abnormal involuntary movements(781.0)Clinical question: resting tremor concern for Parkinson's The CSF spaces are appropriate for the patient's stated age with no midline shift. On susceptibility imaging there is a signal hypointensity present in the anterior aspect of the right inferior parietal lobule measuring 2mm on the T1 sagittal.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.Incidental note is made of partial empty sella.
There is a microhemorrhage in the right parietal lobe which in isolation is of unknown clinical significance.