65-year-old male with right sided weakness and paresthesia. MRI brain:Examination is somewhat limited by motion artifact. Within these limitations, there is no evidence of intracranial mass or acute infarct. There is scattered mild periventricular and subcortical white matter T2/FLAIR hyperintensity which is nonspecific but likely related to chronic small vessel ischemic disease. 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. There is near complete opacification of the left maxillary sinus with mild mucosal thickening involving the right maxillary sinus. There is opacification of many of the ethmoid air cells and minimal mucosal thickening of the frontal sinus.MRI C-spine:This is a severely limited exam secondary to patient motion. There are degenerative changes involving the cervical spine with mild spinal canal stenosis involving the C4-5, C5-6 and C6-7 levels. A disc osteophyte complex and facet arthropathy contribute to severe bilateral neuroforaminal narrowing at C4-5. In addition, a disc-osteophyte complex and facet arthropathy at C5-6 contribute to severe left and moderate to severe right neuroforaminal stenosis at this level.There is straightening of the cervical spine which is nonspecific. The vertebral body heights are maintained. The cervical spinal cord normal signal cannot be adequately assessed secondary to patient motion. Paraspinous soft tissue structures appear within normal limits.
1.Limited exam of the brain without acute abnormalities.2.Mild scattered chronic small vessel ischemic disease3.Severely limited examination of the cervical spine shows degenerative changes most prominent at the C4-5 and C5-6 level at most severe neuroforaminal narrowing involving the bilateral C4-5 and left C5-6 levels. There is at most mild spinal canal stenosis from C4-5 through C6-7.4.Note that the cervical spinal cord cannot be adequately assessed secondary to the limitations of motion.5.Paranasal sinus inflammation, greatest involving the left maxillary sinus, as described above.