 Images are somewhat motion a graded secondary to uncontrolled shaking of the legs. Given this caveat:Brain:The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. 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.Cervical spine:Alignment is normal. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There are no degenerative changes or stenoses.Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no masses. There is no abnormal enhancement. There are no degenerative changes or stenoses.Lumbar spine:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable. There is no abnormal enhancement.L5/S1: There is a small central disc extrusion that extends slightly below the disc level without significant associated mass effect and no resulting stenosis.There are no other degenerative changes and there are no stenoses.
1.Negative contrast-enhanced brain MRI.2.Negative contrast enhanced cervical spine MRI.3.Negative contrast enhanced thoracic spine MRI.4.At L5/S1 there is a small central disc extrusion that extends slightly below the disc level without significant associated mass effect and no resulting stenosis. Otherwise negative contrast enhanced lumbar spine MRI.