Female, 54 years old, with weakness, numbness, cramping and tremor. Brain:No definite parenchymal signal abnormality is seen. Brain morphology is within normal limits. No evidence of edema or mass effect is seen. No pathologic parenchymal or extra-axial enhancement is detected. There are no abnormal extra-axial fluid collections. The ventricular system is normal in size and morphology.C-spine:Alignment is anatomic. Vertebral body height and morphology are normal. No concerning marrow replacement seen.The visualized spinal cord shows normal signal intensity and morphology throughout. No focal lesions are detected. No epidural pathology is suspected.C2-3: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis. C4-5: Unremarkable. C5-6: Mild facet hypertrophy. Mild posterior disc-osteophyte complex formation. Slight effacement of the ventral thecal sac but no significant spinal canal stenosis. No significant spinal canal stenosis. C6-7: Mild facet hypertrophy. Mild posterior disc-osteophyte complex formation. Slight effacement of the ventral thecal sac but no significant spinal canal stenosis. Mild left foraminal narrowing. C7-T1: Unremarkable.
1.Unremarkable evaluation of the brain with no focal lesions or additional specific findings to account for the patient's symptoms.2.Mild degenerative findings in the cervical spine without high-grade spinal canal or foraminal stenosis. No focal cord lesions are seen.