 BRAIN: There is no intracranial mass, pathologic enhancement, acute infarct, mass effect or midline shift. There are mild nonspecific periventricular and subcortical white matter T2 signal abnormalities. There are numerous supratentorial foci of punctate susceptibility effect in the bilateral basal ganglia, but mostly at the peripheral gray-white junction. There is a right globe prosthesis. There are scattered high T1 signal intensity foci in the calvarium, which may represent scattered hemangiomas. There is mild diffuse heterogeneous calvarial marrow signal which may be secondary to renal osteodystrophy given patient's end-stage renal disease.CERVICAL SPINE: There is normal cervical alignment and vertebral body height. There is multilevel disc desiccation. There is no abnormal enhancement in the cervical spine. There are mild multilevel disc and endplate degenerative changes at C2-3 through C4-5 levels with minimal spinal stenosis. There is a right C5-6 paramedian disc protrusion with mild spinal canal stenosis, and a shallow left-sided C6-7 disc protrusion without significant spinal canal stenosis. There is no significant neural foramen stenosis at any level. There is no spinal cord signal abnormality.THORACIC SPINE: There is normal alignment and vertebral body height. There is multilevel disc desiccation in the upper thoracic levels without significant loss of disc height. There is no significant disc herniation or spinal stenosis at any level. The spinal cord signal is within normal limits without a discrete lesion. There is no abnormal enhancement.LUMBAR SPINE: There is normal alignment and vertebral body height. There is mild disc desiccation at L5-S1, without significant loss of disc height. The conus terminates at lower L1 level. There is mild facet arthrosis and ligamenta flavum thickening at multiple levels without disc herniation or significant spinal stenosis. There is a subcentimeter sacral perineural cyst. There is no pathologic enhancement in the lumbar spine. The kidneys are atrophic with numerous nonenhancing bilateral cysts.
1.No evidence of acute infarct or intracranial mass. 2.Mild probable chronic microvascular ischemic changes and numerous nonspecific supratentorial punctate foci of susceptibility effect suggesting remote microhemorrhages versus less likely cerebral amyloid angiopathy.3.Mild cervical spondylosis with mild spinal canal stenosis at C5-6, but otherwise no significant spinal stenosis at others level of the spine.4.Atrophic kidneys with numerous nonenhancing bilateral cysts, consistent with end-stage renal disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.