64 years, Female, brain lesion cord lesion. Per chart, patient has progressive left lower extremity weakness. BRAIN
1. Brain MRI demonstrates no evidence of infarct, intracranial mass, or mass effect. There is evidence of mild chronic small vessel ischemic disease.2. No abnormal signal within the spinal cord. No significant stenosis in the cervical, thoracic, or lumbar spine. 3. Mild degenerative changes in the spine. There is mild to moderate right C5-C6 neural foraminal stenosis. There is also mild neural foraminal stenosis at L3-L4, L4-L5, and L5-S1 as described above.