 Brain:Note that a FLAIR sequence was not obtained. The patient will be invited back to complete this sequence and an addendum will be issued at that time.The ventricles, sulci and cisterns are symmetric and unremarkable. Note is made of hemosiderin staining in the high right frontal lobe without associated enhancement or evidence of acute hemorrhage. The gray-white matter differentiation is normal. There is no mass, midline shift, intra or extra-axial fluid collection/acute hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Lumbar spine: There is loss of the normal lumbar lordosis. Vertebral body heights and disk spaces are maintained. There is no significant neuroforaminal or spinal canal stenosis. T1 hypertensity is noted within the filum terminale. The conus medullaris is normal in appearance and location at L1. The signal of the visualized lower spinal cord is within normal limits.
1. Hemosiderin staining in the high right frontal lobe, which may reflect prior contusive injury.2. Fatty filum terminale, which is an occasional incidental finding, although correlation with symptomatology is recommended. The visualized spinal cord and conus are normal in appearance and location.Note that a FLAIR sequence was not obtained and the patient will be invited back to complete this sequence. An addendum to this report will be issued at that time. 