32 years Female (DOB:11/16/1983)Reason: 3T scanner, please evaluate for aneurysms (family hx of aneurysms) History: Fam history of aneurysms (sister had ruptured aneurysm in 20s)PROVIDER/ATTENDING NAME: ISSAM A AWAD ISSAM A AWAD Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. The cerebellar tonsils extend approximately 5 mm below the level of the foramen magnum. The cerebellar tonsils are rounded there is straightening of the normal cervical curvature.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is mild disc desiccation present at this level. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is mild disc desiccation and a minor disc bulge at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is mild disc desiccation and a minor disc bulge at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a minor disc bulge at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries. The posterior communicating arteries are small to medium-sized. The anterior communicating artery is small.There is no evidence for intracranial aneurysm or cerebrovascular occlusion. The left vertebral artery is larger than the right vertebral artery. There is extracranial origin of the right posterior inferior cerebellar artery.CSF flow study:CSF flow study demonstrates normal biphasic flow. The cerebellar tonsils extend approximately 5 mm below the level of the foramen magnum.
1.There are mild degenerative changes present in the cervical spine without significant compromise to the spinal canal or exiting nerve roots. Please note that straightening of the normal cervical curvature on MRI is nonspecific finding which could relate to muscle spasm or patient positioning.2.There is no compromise to the thoracic spinal cord or cervical spinal cord. No lesions are identified in the spinal cord.3.There is no evidence for intracranial aneurysm or intracranial stenosis.4.The cerebellar tonsils are low lying. CSF flow study at the level of foramen magnum is within normal limits.