78 years Female (DOB:5/16/1937)Reason: symptoms consistent with glossopharyngeal neuralgia; please assess CN; RT planning History: RT planningPROVIDER/ATTENDING NAME: STEVEN J CHMURA STEVEN J CHMURA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.The eyeball lenses are thin.At C3-4 there is a disc bulge present associated with posterior ligamentous hypertrophy and spinal stenosis.
1.No intracranial mass lesion is appreciated. The T2 exam is mildly degraded due to patient motion and the exam is limited for the purposes of treatment planning.2.Findings are suggestive of spinal stenosis at the C3-4 level. If clinically appropriate. Imaging of the cervical spine may be of further benefit.