The imaging was normal in this patient, as has been reported before in parkin-linked disease,14,25 in which it was suggested to signify the absence of LB pathology in parkinsonism cases.14 The relative preservation of epicardial sympathetic fascicles observed postmortem was in keeping with the antemortem imaging, but α-synuclein aggregates and LBs also were discovered in these structures. Here, PRKN is linked to Parkinson disease.