Bilateral upper extremity weakness. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild nonspecific T2 hyperintensity in the bilateral putamina and trace periventricular T2 hyperintensity. The brain parenchyma otherwise appears unremarkable. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Brachial Plexus: There are disc-osteophyte complexes at C3 through C7, with indentation upon the spinal cord at C3 though C6, but no evidence of abnormal spinal cord signal. The brachial plexus appears unremarkable bilaterally, without evidence of tumors. There is mild dextrosclerosis of centered in the upper thoracic spine. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable, aside from a mid thoracic hemangioma or focal fat. The paravertebral soft tissues are unremarkable. The thyroid gland appears to be mildly enlarged and heterogeneous.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Disc-osteophyte complexes at C3 through C7, with indentation upon the spinal cord at C3 though C6, but no evidence of abnormal spinal cord signal. Please refer to the recent cervical spine MRI report for additional details.3. The brachial plexus appears unremarkable bilaterally.4. The thyroid gland appears to be mildly enlarged and heterogeneous, which is nonspecific.