Right hand numbness and weakness. Evaluate for CVA, disc herniation. Brain: Brain parenchyma appears essentially within normal limits for age. There are minimal scattered punctate foci of T2/FLAIR hyperintensity, which are nonspecific and may represent minimal chronic small vessel ischemic changes. No evidence of acute infarct. No evidence of hemorrhage. No intracranial mass or mass effect. No midline shift or herniation. Ventricles and sulci appear within normal limits. Calvarium and extracranial soft tissues are grossly unremarkable.Cervical spine: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign. The cervical spinal cord has normal signal characteristics and overall morphology.Mild degenerative changes are seen in the cervical spine with mild multilevel disc desiccation. Individual levels as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: There is a central disc protrusion which effaces the ventral thecal sac and results in mild narrowing of the spinal canal. No significant stenosis involving the neural foramina. C6-7: Minimal left neural foraminal narrowing. Otherwise no compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina. There is mild bilateral facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Brain MRI appears within normal limits for age. No evidence of acute infarct.2. Mild degenerative changes in the cervical spine including a central disc protrusion at the C5-C6 level. There is at most mild spinal canal stenosis at this level. There is minimal left C6-C7 neural foraminal narrowing. Spinal canal and neural foramina are otherwise patent.