Headaches. Rule-out tumor or mass. Neck pain. Brain: Brain parenchyma appears within normal limits for age. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. Partially empty sella 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 height. Alignment is maintained. Bone marrow signal is within normal limits. 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. There is mild left neural foramina narrowing related to uncovertebral hypertrophy and mild facet arthropathy. No significant right foraminal narrowing.C5-6: There is mild bilateral neural foraminal narrowing. No significant spinal canal narrowing.C6-7: Mild ligamentum flavum thickening. There is mild bilateral neural foramina narrowing, relatively worse on the left. There is mild spinal canal narrowing. 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.
1. MRI of the brain is within normal limits. No intracranial mass or abnormal enhancement is appreciated.2. Mild degenerative changes in the cervical spine without high-grade spinal canal or neural foramina stenosis at any level.