Burning pain, hyperesthesia of left upper extremity. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is extensive diffuse paranasal sinus mucosal thickening and multiple fluid levels.Cervical Spine: The spinal cord displays normal signal and morphology. There is no evidence of abnormal enhancement in the spine. There is nonspecific lack of the usual lordosis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. No evidence of cervical spinal cord lesions.3. Findings suggestive of acute sinusitis.