 MRI brain: This is a mildly motion degraded exam. There is no restricted diffusion. The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There a few scattered foci of increased T2 signal in the periventricular and subcortical white matter which are nonspecific. There is mild prominence of superior cerebellar vermian sulci, which is of unknown clinical significance. There are no areas of pathological enhancement. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. MR C-spine: This is loss of normal cervical lordosis. The cervical vertebral bodies and disc spaces are normal in height. The cervical spinal cord has normal signal characteristics and overall morphology. There is no pathological enhancement.At C2-3, there is no significant compromise to the spinal canal or neural foramina. At C3-4, there is is mild disc osteophyte complex and right uncovertebral hypertrophy, resulting in minimal narrowing of right neural foramen. No significant compromise to the spinal canal .At C4-5, there is uncovertebral hypertrophy. No significant compromise to the spinal canal or neural foramina.At C5-6, there is uncovertebral hypertrophy. In addition, there is a posterior osteophyte disc complex with superimposed central/right paracentral disc extrusion which extends about 3-4 mm cranially and 4 mm caudally, causing indentation on the ventral spinal cord resulting in impingement of the right ventral C6 nerve root. There is moderate spinal canal stenosis. There is minimal neuroforaminal narrowing, left more than right.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. There is slight asymmetric prominence of the right thyroid lobe with diffuse heterogenicity.MR thoracic spine: Some of the sequences are degraded secondary to lack of saturation bands. There is mild exaggeration of normal thoracic kyphosis along the upper thoracic spine. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement. The distal spinal cord and conus are within normal limits with the conus terminating at the mid L2 level.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.MRI lumbar spine: Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position. There is no pathological enhancement.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the lumbar spine. Paraspinous soft tissues are within normal limits. There is minimal fluid within the endometrium, likely physiological. There is also partial visualization of follicles in the ovaries.
1. No evidence of acute intracranial abnormality. 2 nonenhancing nonspecific scattered punctate foci of T2/FLAIR hyperintensity within the frontal lobe white matter.2. Mild volume loss of the superior cerebellar vermis suggestive of unknown clinical significance.3. Degenerative changes of the cervical spine most pronounced at C5-C6, with right central/paracentral disc extrusion resulting in indentation on the ventral cord and likely impingement of the right ventral C6 nerve root. There is moderate central spinal canal stenosis. Mild foraminal stenosis at C5-C6 and C3-C4 as described.4. Unremarkable MRI of the thoracic spine and lumbar spine.5. Mild asymmetric prominence and heterogeneity of the right thyroid lobe. Correlation with thyroid function tests is recommended and thyroid ultrasound may be obtained as clinically indicated.