 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 the single posterior left ethmoid air cell. Minimal fluid signal is noted within left mastoid air cells. The remaining paranasal sinuses and right mastoid air cells are clear. There is no abnormal enhancement within the brain. Degenerative changes of the upper cervical spine from C2 through the superior-most visualized aspect of C5 demonstrate spondylitic changes resulting in degrees of central stenosis and cord deformation.
1.Mucosal thickening is present within the single posterior left ethmoid air cell. 2.Minimal fluid signal is noted within left mastoid air cells. 3.Degenerative changes of the upper cervical spine from C2 through the superior-most visualized aspect of C5 demonstrate spondylitic changes resulting in degrees of central stenosis and cord deformation. If the patient has symptoms referable to the cervical spine, dedicated cervical spine MRI could better characterize central and foraminal stenoses.4.There are no MRI findings to explain the patient's chronic dizziness.