A 75-year-old male was admitted to the hospital because his daughter noticed that he woke up with a left facial droop and slurred speech. The daughter brought him to emergency suspecting it a stroke. On arrival in the emergency room ( ER ), the patient's electrocardiogram ( ECG ) showed a new onset atrial fibrillation ( Afib ) with a rate of 75 beats per minute (bpm). Past medical history - End-stage renal disease on hemodialysis ( ESRD on HD ), hypertension ( HTN ), diabetes type 2 ( DM2 ), severe aortic stenosis ( AS ), 0.6 cm2, deemed inoperable due to ESRD .
CT of the head showed an occipital stroke of unknown age (it was new since the previous CT scan done 4 years ago), atrophy and ventriculomegaly. The physical examination was remarkable for left facial drooping and slurred speech (dysarthria). What is the most likely diagnosis? Stroke TIA Bell's palsy
