Female, 20 years old, with worsening migraine frequency, right-sided. Assess for mass lesion. Also with lower extremity numbness. Brain:No evidence of signal abnormality, edema or mass effect is seen. No pathologic parenchymal or extra-axial enhancement is detected. A small right frontal developmental venous anomaly is noted incidentally.There is no evidence of intracranial hemorrhage or any abnormal extra axial fluid collection. Ventricles are normal in size and morphology.Spine:Alignment is anatomic. Vertebral body morphology and signal characteristics are normal. No evidence of marrow edema is seen.The visualized spinal cord shows normal signal intensity and morphology.Very small central disk protrusions are seen at C5-6 and C6-7. These do not contact the spinal cord and results in no significant spinal canal stenosis. The neural foramina are patent throughout.
1. Unremarkable evaluation of the brain with no specific findings to account for the patient's worsening migraines.2. Minimal degenerative disk disease in the cervical spine which, again, would not explain the patient's symptoms.