Unsteady gait, auditory symptoms. Neck pain. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there are facial cosmetic fillers. Cervical Spine: There is multilevel degenerative spondylosis. At C3-4, a posterior disc-osteophyte complex and uncovertebral hypertrophy result in mild spinal cord impingement and at least moderate bilateral neural foraminal narrowing. At C4-5, a posterior disc-osteophyte complex and uncovertebral hypertrophy also result in mild spinal cord impingement and at least moderate bilateral neural foraminal narrowing. At C5-6, a posterior disc-osteophyte complex and uncovertebral hypertrophy result in mild bilateral spinal canal narrowing and at least moderate bilateral neural foraminal narrowing. At C6-7, a posterior disc-osteophyte complex and uncovertebral hypertrophy result in mild spinal canal narrowing and at least mild bilateral neural foraminal narrowing. There is no significant degenerative change at C2-3 and C7-T1. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Mild diffuse cerebral volume loss, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Multilevel degenerative cervical spondylosis with variable degree of neural foraminal stenosis and spinal canal narrowing, with mild impingement upon the spinal cord at C3-4 and C4-5.