Female, 63 years old, with psychomotor slowness and right-sided hyperreflexia. Scattered Brain:Relatively proportional prominence of the lateral and third ventricles and the cerebral sulci is seen likely reflecting underlying parenchymal volume loss. The temporal horns of the lateral ventricles are not dilated. The fourth ventricle is within normal limits.Minimal periventricular T2 hyperintensity is seen which can be a normal finding in this age group. No evidence of any focal parenchymal lesion, edema or mass effect is observed. No diffusion restriction is seen. No findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection are detected.C-spine:Exaggeration of the cervical lordosis is seen. A trace anterolisthesis of C6 relative to C7 is noted. Sagittal alignment is otherwise unremarkable.Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen.The visualized spinal cord shows normal signal intensity and morphology throughout. No epidural abnormalities are suspected.The left thyroid lobe is questionably somewhat nodular. The paraspinal soft tissues are otherwise unremarkable.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Left facet arthropathy. No significant spinal canal stenosis or neuroforaminal narrowing. C4-5: Facet arthropathy. Loss of disc height and minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left foraminal narrowing. C5-6: Left greater than right facet arthropathy. No significant spinal canal stenosis. Moderate left foraminal narrowing. C6-7: Facet arthropathy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Moderate left foraminal narrowing C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.Proportionate prominence of the supratentorial ventricles and cerebral sulci is demonstrated most likely representing generalized parenchymal atrophy. No focal or acute intracranial lesions are detected.2.Relatively mild degenerative findings are seen in the cervical spine. No areas of high-grade spinal canal stenosis or spinal cord impingement are seen. At most, moderate foraminal narrowing is evident at several levels on the left.