headache, left side weakness Brain MRIMotion artifacts degraded image quality.No evidence of acute ischemic or hemorrhagic lesion.Multifocal scattered high signal intensity lesions on FLAIR on bilateral periventricular white matter and centrum semiovale indicate non specific small vessel disease.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/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 mastoid air cells are clear.The left maxillary sinus shows retention cyst.C Spine MRIThere is focal central disc protrusion (series= 601, image=21/39) which abuts thecal sac at the level of C45.Diffuse disc bulging which obliterates anterior epidural space at the level of C56 and broad based focal disc bulging (series = 601, image 13/39) at the level of C67 with minimal spinal canal stenosis at the level of C67.Minimal neural foraminal narrowing at the level of C56 especially on the right side.The cranial-cervical junction is normal. There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The paraspinal soft tissues are unremarkable.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific small vessel disease.3. Degenerative spondylosis on C spine, in particular intervertebral disc protrusion at the level of C45, diffuse disc bulging at the level of C56 and broad based focal disc bulging at the level of C67.