Male, 60 years old, with right sided weakness. MRI head:No restricted diffusion is seen. Mild patchy periventricular white matter T2 hyperintensity is noted, a nonspecific finding. No evidence of parenchymal edema or mass effect is seen. No abnormal extra-axial collections are detected. The ventricular system is normal in size and morphology.MRA head:No significant vascular stenosis or occlusion is identified. No aneurysm or vascular malformation is suspected within the limitations of technique.MRA neck:The origins of the great vessels are patent. No significant stenosis is detected in the carotid vessels by NASCET criteria. Likewise, the vertebral vessels are free of significant stenosis. The right vertebral artery is slightly larger than the left.MRI cervical spine:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or marrow edema is detected. No enhancing lesions are seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No pathologic cord or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Minimal facet and uncovertebral hypertrophy. No spinal canal stenosis. Moderate left foraminal narrowing. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Minimal disc osteophyte formation slightly asymmetric to the left foraminal region. Mild facet hypertrophy. No significant spinal canal stenosis. Moderate left and mild right foraminal narrowing. C6-7: Disc osteophyte formation with a right paracentral disc extrusion. Effacement of the right ventral thecal sac without significant generalized canal stenosis. Mild facet hypertrophy. No significant foraminal narrowing. C7-T1: Facet hypertrophy. No significant spinal canal or foraminal stenosis.
1.No evidence of acute ischemia or any other acute intracranial abnormality is seen. At most, there are findings which may relate to mild chronic microvascular disease.2.No significant vascular lesions are detected in the head or neck.3.Disc osteophyte formation with a right paracentral disc extrusion is seen at C6-7. This results in effacement of the right ventral thecal sac but there is no significant canal stenosis.4.Moderate left-sided foraminal narrowing is seen at C3-4 and C5-6. No other significant spinal canal or foraminal stenosis is detected.