33 years, Female, chronic daily headache. Right-sided tingling. Brain: No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. Few scattered foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical white matter which are nonspecific. Cerebellar tonsils are normal position. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Partially empty sella is incidentally noted. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. Cervical spine: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild loss of cervical lordosis; alignment is otherwise maintained. Bone marrow signal is within normal limits. There is no abnormal enhancement in the cervical spine.The cervical spinal cord has normal signal characteristics and overall morphology.Minimal degenerative changes are seen in the cervical spine as described 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: Tiny dorsal annular fissure and central disc protrusion without significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. 7 mm right thyroid nodule incidentally noted. There is a 1 cm benign-appearing lesion with low T1 and low T2 signal within the prominent subcutaneous fat of the left posterior neck, which is nonspecific and of doubtful clinical significance.
1. MRI of the brain essentially within normal limits for age. Few small foci of T2/FLAIR hyperintensity are seen in the bilateral frontal subcortical white matter which are nonspecific and may be related to prior inflammation or associated with migraines, for example.2. Partially empty sella, which may be a normal variant but can also be seen with intracranial hypertension in the appropriate clinical setting.3. Evaluation of the cervical spine demonstrates minimal, degenerative changes without spinal canal or neural foraminal stenosis at any level.4. 7 mm right thyroid nodule.