She is alert and oriented times three. She has difficulty with speech, mostly lingual sounds. No aphasic symptoms and normal flow, normal rate, and normal content. No shortness of breath noted. Cranial nerves showed right fundi with sharp discs.
Pupils are equal and reactive to light.
Face was symmetric. Eye closure, puffed cheeks, and smile are symmetric. Her gag is present bilaterally, left greater than right. The laboratory data was unremarkable. ECG showed normal sinus rhythm.