 Images are somewhat limited by patient motion. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are multiple scattered punctate foci of abnormal T2/FLAIR hyperintensity within the subcortical white matter, which are nonspecific. There are 2 foci of susceptibility corresponding to coarse calcification on recent CT of the face. These are located in the right posterior frontal lobe and the peripheral right posterior temporal lobe. No other foci of susceptibility are visualized. There is no pathological enhancement. There is no diffusion abnormality. 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. Images are slightly limited by patient motion. The cervical spine is in normal alignment, with slight straightening of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated although marrow signal overall is decreased diffusely respect to adjacent disks on T1-weighted images, which is nonspecific. The spinal cord is of normal caliber and signal.At C3-C4, there is a trace disc bulge with mild right uncovertebral hypertrophy and possible bilateral facet arthropathy. There is mild to moderate right and minimal left foraminal narrowing.At C4-C5, there is a trace disc bulge which flattens the ventral thecal sac without stenosis.At C6-C7, there is a mild diffuse posterior osteophyte disk complex with slight right-sided prominence. There is bilateral uncovertebral hypertrophy and left facet arthropathy.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the remainder of the cervical spine.
1. No acute intracranial abnormality.2. Foci of susceptibility corresponding to 2 foci of coarse calcification in the right cerebral hemisphere. These are nonspecific, and could relate to dystrophic calcification from previous infection including nodular calcified neurocysticercosis, or relating to tiny cavernomas.3. Nonenhancing nonspecific punctate foci of T2 hyperintensity within the white matter. These may relate to an infectious/inflammatory process, demyelinating disease, chronic small vessel ischemic changes, or possibly migraine headaches. Please correlate clinically.4. Very minimal cervical spinal spondylosis with only up to mild-moderate right foraminal narrowing at C3-C4.5. Diffuse abnormal marrow signal within the cervical spine which is nonspecific, and can be due to reactive hyperplastic marrow although other infiltrative processes can have a similar appearance. Please correlate clinically.