 Brain MRI:There are a few scattered punctate foci of T2 hyperintensity without mass effect or restricted diffusion. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. Cervical spine MRI:There are no fractures. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.Discogenic reactive endplate changes are present at C3/4 (Modic type II) as well as at C6/7 (Modic type I).Disc desiccation is noted throughout the cervical spine with disc space narrowing at C3/4, C4/5, and C5/6.C2/3: Mild bilateral facet hypertrophy and slight ligamentum flavum thickening without stenosis.C3/4: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, slight ligamentum flavum thickening, moderate left facet hypertrophy, and mild right facet hypertrophy. There is no central stenosis, however there is moderate bilateral neural foraminal stenosis.C4/5: Trace anterolisthesis C4 and C5, posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and moderate bilateral facet hypertrophy. There is no central stenosis, however there is moderate bilateral neural foraminal stenosis.C5/6: Trace anterolisthesis C5 on C6, minimal posterior osteophyte disc complex, moderate bilateral facet hypertrophy, partial bilateral facet fusion, and partial vertebral body fusion. There are no significant stenoses.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is no central stenosis however there is mild bilateral neural foraminal stenosis.C7/T1: UnremarkableT1/2: There is a small midline disc protrusion which causes anterior cord flattening without intrinsic cord signal abnormality. There is also trace anterolisthesis T1 on T2 and bilateral facet hypertrophy. There are no significant stenoses.T2/3: Trace anterolisthesis T2 on T3 secondary to facet hypertrophy. There are no significant stenoses.
1.Mild chronic small vessel ischemic disease.2.C3/4: Moderate bilateral neural foraminal stenosis.3.C4/5: Moderate bilateral neural foraminal stenosis.4.C6/7: Mild bilateral neural foraminal stenosis.5.T1/2: There is a small midline disc protrusion which causes anterior cord flattening without intrinsic cord signal abnormality.6.Within limits of noncontrast MRI imaging, there are no findings of metastatic disease.