Numbness and tingling to left ear and left face. BRAIN: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are non-specific periventricular, subcortical, and pontine T2 hyperintensities. The internal auditory canals are grossly normal in appearance. 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 skull and scalp soft tissues are grossly unremarkable. There is a right maxillary sinus retention cyst. CERVICAL SPINE: There are post-surgical findings related to anterior cervical fusion of C4-6. There is multilevel neural foraminal and central stenosis secondary to facet arthropathy, uncovertebral hypertrophy, and disk-osteophyte complexes. At C3-4, there is moderate left and mild right neural foraminal stenosis. At C4-5, there is mild central stenosis, as well as moderate bilateral neural foraminal stenosis. At C5-6, there is mild disc bulging causing mild effacement of the ventral thecal sac, as well as moderate bilateral neural foraminal stenosis. At C6-7, there is moderate left and mild right neural foraminal stenosis. At T1-2, there is mild disc bulging abutting the ventral thecal sac, as well as mild bilateral neural foraminal stenosis. There is straightening of the cervical spine. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Post-surgical findings from anterior cervical fusion of C4 through C6 with multilevel cervical spondylosis with variable degrees of spinal canal and neural foraminal stenoses.2. No evidence of acute intracranial hemorrhage, mass, or acute infarct.3. Cerebral white matter T2 hyperintensities are non-specific, but suggestive of chronic small vessel ischemic disease.