 The study is motion degraded, given this caveat:Brain MRI:T2 hyperintensities are present within periventricular and subcortical white matter without restricted diffusion, susceptibility abnormality, or enhancement. Additionally, there is a small focus of T2 hyperintensity involving the cortices and underlying subcortical white matter of the anteromedial left occipital lobe without restricted diffusion.There is diffuse volume loss without a specific lobar predominant atrophy pattern.The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. Note is made of an empty sella. 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. Cervical spine MRI:Alignment is normal. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There is no abnormal enhancement.C2/3: UnremarkableC3/4: UnremarkableC4/5: Posterior osteophyte disc complex, bilateral facet hypertrophy, and ligament flavum thickening. There is mild central, moderate left neural foraminal, and mild right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral facet hypertrophy, and ligament flavum thickening. There is mild central and mild to moderate bilateral neural foraminal stenosis.C6/7: Minimal posterior osteophyte disc complex as well as bilateral uncinate hypertrophy. There is mild bilateral neural foraminal stenosis.C7/T1: Unremarkable
1.Chronic small vessel ischemic disease.2.Small right anteromedial occipital lobe chronic infarct.3.Diffuse volume loss without a specific lobar predominant atrophy pattern.4.C4/5: Mild central, moderate left neural foraminal, and mild right neural foraminal stenosis.5.C5/6: Mild central and mild to moderate bilateral neural foraminal stenosis.6.C6/7: Mild bilateral neural foraminal stenosis.