Vocal cord paralysis and dysphagia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain, cerebellum, and brainstem 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. There is a 5 mm diameter right paraophthalmic aneurysm. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a small left maxillary sinus retention cyst.
1. No evidence of gross brainstem lesions or lesions along the proximal portions of the vagus nerves.2. A 5 mm diameter right paraophthalmic aneurysm is better depicted on the prior MRA.