55 years Female (DOB: 7/2/1961)Reason: any cervical disk herniation or stenosis? History: dysphagia and hyperreflexiaPROVIDER NAME: BETTY C. SOLIVEN BETTY C. SOLIVEN MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Given the small number of lesions in the patient's stated age these are likely of little clinical significance.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a small left lateral recess disc protrusion at this level. There is some left-sided facet hypertrophy at this level associated with mild narrowing of the left neural foramen and mild encroachment of the left exiting nerve roots..At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a small broad-based right paramedian disc protrusion at this level. There is mild encroachment of the right-sided exiting nerve roots at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are some mild degenerative changes present in the cervical spine without significant compromise to spinal canal or exiting nerve roots.2.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. Given the small number of lesions and the patient's stated age these are likely of little clinical significance.