87 years Male (DOB: 5/21/1929)Reason: dizziness and falls History: fallsPROVIDER NAME: CHRISTOPHER L KRAMER MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is generalized brain atrophy present.There is an 11 mm lesion in the right frontal lobe which on all pulse sequences has a peripheral area of low signal in the popcorn-like appearance centrally on T2 and T1 imaging. It is predominantly bright centrally on T1 and T2.On susceptibility imaging there are several punctate foci of signal loss in the cerebellar hemispheres. Additional punctate foci of signal loss on susceptibility imaging are present in the right periventricular white matter as well as the right half of the corpus callosum at the level of the splenium.There is a subgaleal hematoma present adjacent the right parietal bone measuring 11 mm in thickness. There is no evidence for coup or contrecoup injury.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal lesions are identified in the cervical spine. There is straightening of the normal cervical curvature present.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy present at this levelAt C3-4 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy present at this level. There is mild anterior subluxation of C3 on C4.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy present at this level associated with uncovertebral osteophytes and mild anterior subluxation of C4 and C5At C5-6 there are endplate uncovertebral osteophytes present associated loss of disc space height and some encroachment of the left-sided exiting nerve roots within the neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina. Endplate osteophytes are present at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Right frontal lobe cerebral cavernous malformation.2.Multilevel degenerative changes are present cervical spine associated with neural foramen encroachment of exiting nerve roots bilaterally at C3-4 and on the left-sided C5-6. There is mild anterior subluxation of C4 on C5 and C3 on C4