 Multiple sequences are motion degraded. Given this caveat:Brain:Within the bilateral globus pallidus there are foci of restricted diffusion with matching ADC hypointensity, T2 hyperintensity, without T T1 signal change.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The mastoid air cells are clear. Cervical spine:There is a linear focus of T2 hyperintensity within the cervical cord just inferior to the cervicomedullary junction measuring up to 8 mm in craniocaudal dimension without mass effect.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The visualized paraspinal contents are unremarkable.C2/3: No significant stenosisC3/4: No significant stenosisC4/5: Mild to moderate right neural foraminal stenosisC5/6: Mild bilateral neural foraminal stenosisC6/7: No significant stenosisC7/T1: No significant stenosisThoracic spine:There are bilateral pleural effusions.There are no acute fractures or subluxations. Marrow signal intensity is benign throughout. The spinal cord is normal in signal.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates disc bulge abutting the cord without stenosis. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates a left paracentral disc protrusion abutting the cord without stenosis. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment. Lumbar spine:Increased T1 hyperintensity within L5 as well as the sacrum suggests previous radiation therapy to the region.The left kidney is atrophic, as demonstrated on previous abdomen CT exams.There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level.L1/2: Asymmetric bulge to the left and bilateral facet hypertrophy without stenosis.L2/3: Asymmetric bulge to the left, ligamentum flavum thickening, and facet hypertrophy. There is mild left neural foraminal stenosis with adjacent nerve root abutment lateral to the neural foramen.L3/4: Disc bulge, ligamentum flavum thickening, and facet hypertrophy, without stenosis.L4/5: Asymmetric bulge to the right with a prominent annular tear, ligamentum flavum thickening, and bilateral facet hypertrophy. There is mild right neural foraminal stenosis with adjacent nerve root abutment lateral to the neural foramen.L5/S1:Mild disc bulge and bilateral facet hypertrophy. There is moderate left neural foraminal and mild right neural foraminal stenosis.
1.Multiple sequences are motion degraded.2.Acute to subacute ischemia within the globus pallidus bilaterally. The differential diagnosis for this most likely includes a metabolic or toxic etiology, and less likely hypoxic.3.Tiny syrinx within the cervical cord just inferior to the cervicomedullary junction.4.Bilateral pleural effusions.5.No cord or conus compression.6.Mild degenerative changes of thoracic spine without significant stenosis.7.Increased T1 hyperintensity within L5 as well as the sacrum suggests previous radiation therapy to the region.8.L2/3: Mild left neural foraminal stenosis with adjacent nerve root abutment lateral to the neural foramen.9.L4/5: Mild right neural foraminal stenosis with adjacent nerve root abutment lateral to the neural foramen.10.L5/S1:Moderate left neural foraminal and mild right neural foraminal stenosis.11.No MRI evidence of osseous spinal metastatic disease.