Right lower extremity weakness/sensory changes, pain, and vision changes. Orbits: There are bilateral lens implants. The globes, extraocular muscles, orbital fat, lacrimal glands, and optic nerves otherwise appear to be unremarkable bilaterally. There is no evidence of intraorbital massa lesions or abnormal enhancement. The bilateral orbital walls appear to be intact. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. However, there is a prominent extra-axial cerebrospinal fluid signal intensity space that likely represents an arachnoid cyst. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is fluid within multiple paranasal sinuses.Cervical Spine: There is 3 mm of anterolisthesis of C2 on C3 and generalized loss of the usual cervical lordosis. There is multilevel degenerative spondylosis, predominantly affecting C2-3 through C5-6, which results in spinal canal stenosis with spinal cord impingement and neural foraminal stenosis. The spinal cord displays normal signal otherwise. The paraspinal soft tissues are unremarkable.
1. No evidence of optic neuritis.2. Probable chronic small vessel ischemic white matter disease, but no evidence of intracranial hemorrhage, mass, or acute infarct. 3. Multilevel degenerative cervical spondylosis with impingement upon the spinal cord. 4. Findings suggestive of acute sinusitis.