bell's palsy, right sided numbness, hyperreflexia, gait imbalance MRI brain: No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or midline shift. No extra-axial fluid collections. The CSF space just above right precentral sulcus appears slightly prominent and may represent an arachnoid cyst. Otherwise the ventricles, sulci, and cisterns are normal in size without evidence of ventriculomegaly. There is nonspecific focus of left periventricular white matter FLAIR hyperintensity. The tympanic and mastoid portions of the right facial nerve appear slightly more enhancing than the left facial nerve. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unremarkable. MRI cervical spine: Exam is limited by motion artifact. Alignment is anatomic without subluxation. The marrow signal is benign. Vertebral body heights are maintained. Mild multilevel degenerative changes of the cervical spine. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Spinal cord has a smooth contour and is without gross abnormality. The image paraspinal contents are unremarkable. Major cervical vasculatures with normal flow voids.C1/2: No significant spinal canal stenosis or foraminal narrowing.C2/3: No significant spinal canal stenosis or foraminal narrowing. C3/4: Disc osteophyte complex without significant spinal stenosis. Mild uncovertebral arthropathy with moderate right foraminal narrowing and no significant left foraminal narrowing. C4/5: Disc osteophyte complex without significant spinal stenosis. Mild to moderate uncovertebral arthropathy with moderate to severe right foraminal narrowing and mild left foraminal narrowing. C5/6: Disc osteophyte complex without significant spinal stenosis. Mild uncovertebral arthropathy with moderate right foraminal narrowing and no significant left foraminal narrowing. C6/7: Disc osteophyte complex without significant spinal stenosis. Mild uncovertebral arthropathy with mild bilateral foraminal narrowing. Mild left foraminal narrowing.C7/T1: No significant spinal canal stenosis or foraminal narrowing.
1.Limited evaluation of the right tympanic and mastoid portions of the facial nerve shows slight asymmetric enhancement. Such a finding would be compatible with Bell's palsy.2.Nonspecific focus of white matter FLAIR hyperintensity of the left periventricular white matter. 3.Mild degenerative changes of the cervical spine, most severe at C4-5 level with moderate to severe right foraminal narrowing and mild left foraminal narrowing. There is no significant spinal canal stenosis.