 Brain MRI: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 paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain. Incidental note is made of prominent choroid plexus involving temporal horns and foramina of Luschka bilaterally which appears symmetric, without cysts or masses, and is felt to most likely represent an anatomic variant. Cervical spine MRI:Alignment is normal. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal and morphology. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There are no stenoses. There is no abnormal enhancement.
Negative MRI of the brain and cervical spine including gadolinium enhancement. Specifically, there are no MRI findings to explain the patient's symptoms.