 Exam is mildly limited by motion artifact. There is no evidence for intracranial hemorrhage or diffusion-weighted abnormalities. There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. Scattered hyperintensity of the subcortical and periventricular white matter compatible with mild small vessel ischemic disease. There are no extraaxial fluid collections. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain. There is nonspecific bone marrow heterogeneity of the clivus and imaged cervical spine with overall lower signal than expected. Specifically, calvarial bone marrow signal appears within normal limits.
1.No evidence of intracranial metastasis.2.Nonspecific bone marrow heterogeneity of the clivus and imaged cervical spine. Correlation with bone scan can be obtained if clinically indicated.