Hi doctor, I would like to take your suggest regarding below said issues, 1. Acute non-emotional infarcts in left centrum semiovale, letf parieto-occipital watershed zone,left coronal radiata. 2. Grade II small vessel ischemie disease. 3. Fluid noted in left mastoid air cells, left middle ear with inflammation of left side petrous apex~ left acute oto-mastoiditis with petrous apicitis 4. MRA: Acute thrombosis of petrous, cavernous, supraclinoid part of left internal carotid artery. 5. MRV:. Acute thrombosis of left internal jugular vein, left Superior sagittal sinus, left transverse sinus. These problems found In patients MRI scan. And patients face look also changed and looking to be little critical. Patient ages is 71 years & has dieabetic(sugar) . Please advice what can be done.