Autonomic dysfunction with neuromuscular weakness potentially related to multisystem atrophy with Parkinsonian features (MSA-p). There is prominent susceptibility effect in the posterolateral portions of the bilateral putamina, left greater than right. There also appears to be a T2 hyperintense putaminal rim sign, at least on the left side. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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 orbits, skull, and scalp soft tissues are grossly unremarkable. There is pansinus mucosal thickening. There is also nonspecific fluid in the bilateral mastoid air cells.
1.Findings suggestive of multisystem atrophy with Parkinsonian features.2.Pansinus mucosal thickening is suggestive of sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.