Other musculoskeletal symptoms referable to limbs(729.89) [729.89], Reason for Study: ^Reason: ischemia History: aphasia and RLE weakness Brain MRINo evidence of acute ischemic or hemorrhagic lesion.There is significant metallic artifact on the right ACA and distal right ICA surgical clipping area.There is a burr hole on the left frontal lobe with underlying inferior aspect of precentral gyrus as well as part of the postcentral gyrus encephalomalacia. No change of above findings since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. The mastoid air cells are clear. Mucosal thickenings on bilateral ethmoid sinus and bilateral maxillary sinuses.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal left ICAs, and left MCAs. Distal right ICA, right MCA and Acom area cannot be evaluated due to artifacts. Vertebrobasilar system appears to be normal.C-SpineThe cranial-cervical junction is normal. There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows:C23: within normal limitsC34: Diffuse minimal bulging of disc, otherwise unremarkable.C45: Diffuse bulging of disc which abuts thecal sac, otherwise unremarkable.C56: Diffuse minimal bulging of disc, otherwise unremarkable.C67: within normal limitsC7T1: within normal limits
1. Post surgical clipping status, no evidence of acute ischemic or hemorrhagic lesion on this scan.2. Limited brain MRA due to metallic artifacts, no evidence of intracranial arterial lesion.3. Multifocal degenerative changes of cervical discs, otherwise no remarkable C-spine MRI