 Brain:The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Mucosal thickening is present within bilateral maxillary sinuses and the single left ethmoid air cell. Otherwise the paranasal sinuses and mastoid air cells are clear. Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no masses.A small Schmorl's node is present involving the inferior endplate of T12.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates a tiny right paracentral disc protrusion causing very slight anterior right hemicord flattening without intrinsic cord signal abnormality.T6/7 demonstrates a small right paracentral disc protrusion causing anterior right hemicord flattening without intrinsic cord signal and amount. T7/8 demonstrates a small right paracentral disc protrusion without cord deformation.T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment. Lumbar spine:Numbering the spine starting at C2 demonstrates lumbarization of S1 with a well-formed S1/2 disc.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.A small Schmorl's node is present involving the superior endplate of L2.L1/2: UnremarkableL2/3: UnremarkableL3/4: UnremarkableL4/5: UnremarkableL5/S1:UnremarkableS1/2: Unremarkable
1.Mucosal thickening is present within bilateral maxillary sinuses and the single left ethmoid air cell. Otherwise negative noncontrast brain primary.2.T5/6 demonstrates a tiny right paracentral disc protrusion causing very slight anterior right hemicord flattening without intrinsic cord signal abnormality.3.T6/7 demonstrates a small right paracentral disc protrusion causing anterior right hemicord flattening without intrinsic cord signal and amount. 4.T7/8 demonstrates a small right paracentral disc protrusion without cord deformation.5.Negative noncontrast lumbar spine MRI.