 BRAIN: There is no acute infarct, mass effect, or cerebral edema. There are scattered periventricular and subcortical white matter T2 signal abnormalities which are nonspecific, but likely vascular related. There is mild to moderate diffuse lateral and third ventricular prominence with a relatively normal sized fourth ventricle which is likely secondary to greater degree of central parenchymal volume loss, with possible superimposed normal pressure hydrocephalus. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. LUMBAR: The last well formed disk space is referred to as L5-S1. There is normal alignment of the lumbar spine. There is no osseous marrow signal abnormality. The conus terminates at L2 which is within normal limits.T12-L1: No disk herniation or spinal stenosis.L1-2: No disk herniation or spinal stenosis. L2-3: No disk herniation or spinal stenosis.L3-4: Minimal disk bulge, bilateral facet arthropathy and ligamenta flava thickening causing mild bilateral neural foraminal stenosis. No spinal canal stenosis.L4-5: Mild disk bulge, ligamenta flava thickening and facet arthropathy causing mild to moderate bilateral neural foraminal stenosis. No spinal canal stenosis.L5-S1: Mild diffuse disk bulge, facet arthropathy and ligamenta flava thickening causing moderate to severe bilateral neural foraminal stenosis. No spinal canal stenosis.
1.No acute infarct.2.Mild to moderate nonspecific white matter T2 signal abnormalities likely vascular related.3.Mild to moderate cerebral central parenchymal volume loss with possible superimposed normal pressure hydrocephalus.4.Multilevel lumbar spondylosis with bilateral neural foraminal stenosis at L3-4 through L5-S1, worst at L5-S1. No spinal canal stenosis. Please see details above.