Clinical question: Right facial droop, right arm/face numbness. Signs and symptoms: As above. Nonenhanced brain MRI:Negative diffusion weighted images. No evidence of acute intracranial process.Examination demonstrate normal anatomical development and morphology brain. There is normal signal intensity brain parenchyma on MRI sequences. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF and spaces and brain myelination.The signal void of major intracranial arterial branches are identified. The signal intensity of intracranial venous sinuses appear within normal.Unremarkable images through the orbits, paranasal sinuses and mastoid air cells.Unremarkable calvarium and soft tissues of the scalp. Nonenhanced cervical MRI:There is normal anatomical alignment the vertebral column. There is however mild straightening of cervical lordosis which could be positional. There is no significant degenerative changes of the cervical spine present.Foramen magnum is unremarkable.C2 -- C3 is unremarkable.C3 -- C4 is unremarkable.C4 -- C5 demonstrate mild degenerative changes and unremarkable otherwise.C5 -- C6 demonstrate mild degenerative changes and unremarkable otherwise.C6 -- C7 is unremarkable.C7 -- T1 is unremarkable.Uppermost visualized thoracic spine and thoracic cord to T4 level is unremarkable.
1.Negative nonenhanced brain MRI.2.Unremarkable nonenhanced MRI of cervical spine.