L sided weakness and sensory deficit, r/o stroke MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several foci of susceptibility effect centered in the pons and lower midbrain best seen on susceptibility images..Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disc desiccation present and straightening of the normal cervical curvature.At C2-3 there is no significant compromise to the spinal canal. There is narrowing of the left neural foramen resulting from disc material at this level with some encroachment of the left-sided exiting nerve rootsAt C3-4 there is loss of disc space height, diffuse disc bulge, bilateral uncovertebral osteophytes and some small endplate osteophytes. There is effacement of spinal fluid ventral and posterior to spinal cord at this level with a mild to moderate degree of spinal stenosis. There is also encroachment of the exiting nerve roots within the neural foramina bilaterally due to disc material and osteophytes - worse on the left side compared to the right.At C4-5 there is no significant compromise to the spinal canal. There is a disc bulge present at this level associated with some narrowing of the neural foramina and some mild encroachment of exiting nerve roots at this level.At C5-6 there is no significant compromise to the spinal canal . There is a right lateral recess broad-based disc protrusion present at this level which encroaches on the nerve roots at the right lateral recess.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are multiple old microhemorrhages present within the brain stem. 2.There are multilevel degenerative changes present in the cervical spine with encroachment of the right-sided exiting nerve roots at C5-6 and the left-sided exiting nerve roots at C3-3 and C3-4 and a mild to moderate degree of spinal stenosis at C3-4.3.There is no evidence for acute ischemic cerebral infarction.