Male, 68 years old, with weakness, hoarseness and dysphagia. Brain:No restricted diffusion is seen. Scattered foci of T2 hyperintensity are seen in the periventricular white matter bilaterally. No edema or mass effect is detected. No intracranial hemorrhage or abnormal extra-axial fluid is seen. Ventricular size and morphology are within normal limits.C-spine:The cervical lordosis is slightly exaggerated but sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or marrow replacement is seen. The visualized spinal cord shows normal signal intensity and morphology throughout. No epidural abnormalities are suspected. Minimal posterior disc-osteophyte complex formation is seen at C4-5, C5-6 and C6-7, without significant spinal canal stenosis. Likewise, no evidence of significant foraminal compromise is seen.L-spine:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or marrow replacement is seen. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are seen. The intervertebral discs are preserved with no significant bulging or herniation. Mild facet arthropathy is seen at lower lumbar levels. No compromise of the spinal canal or neural foramina is detected.
1.Scattered nonspecific foci of T2 hyperintensity are seen in the brain. No findings are detected which could account for the patient's symptoms.2.Minimal degenerative disease in the cervical lumbar spine, without findings which would account for the patient's symptoms.