New onset headache and radiculopathy. The study is moderately limited by patient motion.BRAIN: There is no acute infarct or acute intracranial hemorrhage. The right parietal cystic encephalomalacia, cortical hemosiderin staining/mineralization and gliosis remain unchanged. This is associated with ex vacuo enlargement of the right lateral ventricular posterior body. Otherwise, the ventricles, sulci and basal cisterns remain enlarged, reflecting underlying brain volume loss. There is no mass-effect, midline shift or brain herniation. The major intracranial vascular flow voids are preserved.The orbits are grossly unremarkable as well as the skull and scalp soft tissues. There is mild maxillary mucosal thickening.CERVICAL SPINE: Alignment is anatomic. There is no acute fracture. There is multilevel disc desiccation. There are small disc bulges at C5-C6 and C6-C7 causing minimal ventral indentations of the thecal sac. The spinal canal is otherwise mildly developmentally narrowed. The cervical spinal cord is normal in morphology and signal. There is also no significant neural foraminal stenosis.
1.Examination is moderately limited by patient motion.2.Brain: Right parietal encephalomalacia and gliosis, probably from chronic infarct, and global moderate brain volume loss are unchanged since August 2010. No acute infarct, acute hemorrhage or mass-effect.3.Cervical spine: No acute fracture or traumatic malalignment. Mild developmental cervical spinal canal narrowing but no significant spinal canal or neural foraminal stenosis.