Lhermittes sign, cognitive problems, bladder urgency weak in upper extremity with diminished vibration in toes. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal punctate foci of high T2 signal in the cerebral white matter. 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, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Cervical Spine: The spinal cord displays normal signal and morphology. 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 degenerative spondylosis at C4 through C6 with mild spinal canal and bilateral neural foramen stenosis. The paravertebral soft tissues are unremarkable.
1. Minimal nonspecific punctate foci of high T2 signal in the cerebral white matter, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Degenerative spondylosis at C4 through C6 with mild spinal canal and bilateral neural foramen stenosis, but no evidence of demyelinating lesions in the cervical spinal cord. 