Female, 53 years old, with sharp shooting pains and paresthesias. Brain:At most, there may be trace nonspecific T2 hyperintense signal along the left frontal horn. No other focal signal abnormality is detected. No edema or mass effect is observed. Diffusion-weighted images are within normal limits. No findings are seen to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collections. The ventricles are normal in size and morphology.C-spine:Alinement is anatomic. Vertebral body heights are preserved. No concerning areas of marrow replacement or marrow edema are seen.The visualized spinal cord shows normal signal characteristics throughout. No focal lesions are seen. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Moderate right and mild left foraminal narrowing. C4-5: Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Severe left and moderate right foraminal narrowing. C5-6: Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate right foraminal narrowing. C6-7: Loss of disc height with mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.No specific findings are seen in the brain or cervical spine to account for the patient's symptoms.2.Relatively mild multilevel cervical spondylosis is evident but without high-grade spinal canal stenosis.