55 year old male with arm and leg weakness with scattered abnormal findings in the brain. Evaluate for cord infarction. Note that axial images through the lower cervical spine are limited from motion and other artifact. IN addition, DWI images were inadvertently not obtained which limits evaluation for cord ischemia.Alignment is anatomic. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. Redemonstrated is diffuse abnormal signal in the pons, including the pontomedullary junction, as described previously. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: No significant spinal canal stenosis or neuroforaminal narrowing.C3/4: Minimal disk bulge. No significant spinal canal stenosis or neuroforaminal narrowing.C4/5: Minimal disk bulge. No significant spinal canal stenosis. Mild right uncovertebral hypertrophy and mild right neuroforaminal narrowing.C5/6: Minimal disk bulge and mild ligamentum flavum thickening. Mild bilateral neuroforaminal narrowing. No significant spinal canal stenosis. C6/7: Mild bilateral uncovertebral hypertrophy and ligamentum flavum thickening which causes mild to moderate bilateral neuroforaminal narrowing. No significant spinal canal stenosis. C7/T1: No significant spinal canal stenosis or neuroforaminal narrowing.
1.Although diffusion weighted images were inadvertently not obtained, the cervical and upper thoracic cord signal appears normal. No definite MR suspicion for cord abnormality.2.Mild degenerative changes as described above.3.Redemonstration of signal abnormalities in the pons similar to the previous exam.