Worsening headaches with vision changes. Neck pain and weakness. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a punctate focus of high T2 signal in the subcortical white matter of the right inferior frontal gyrus. The brain parenchyma otherwise appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable. There is a low signal nodule in the right parietal scalp, which may represent an inclusion cyst. There is a small retention cyst in the right maxillary sinus. Cervical Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is a small posterior disc-osteophyte complex at C5-6, but no significant spinal canal or neural foraminal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Nonspecific punctate focus of high T2 signal in the subcortical white matter of the right inferior frontal gyrus. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No evidence of spinal cord lesions or significant spinal canal stenosis. 