Headache, ataxia, slurred speech. Brain: There is no evidence of intracranial mass or abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: The vertebral column alignment is within normal limits. There are multiple small thoracic Schmorl nodes. The vertebral body and disc space heights are otherwise preserved. The vertebral bone marrow appears unremarkable. There is prominent anterior epidural fat in the sacral spinal canal. There is otherwise no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
No evidence of intracranial or spine tumors or abnormal enhancement on this abbreviated post-contrast study. Please refer to the recent non-contrast brain and spine MRI for additional details. 