Bilateral lower extremity numbness. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, mastoid air cells, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the bilateral maxillary sinuses.Cervical Spine: There appears to be mild diffuse congenital narrowing of the cervical spine. There is straightening of the sagittal alignment, but no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. No evidence of acute intracranial hemorrhage, mass, or demyelinating lesions.2. Apparent mild diffuse congenital narrowing of the cervical spine, but no evidence of demyelinating lesions. 