Female, 61 years old, with diffuse weakness. Brain:No restricted diffusion is observed. No evidence of parenchymal edema or mass effect is seen. A single small focus of mild T2 hyperintensity is evident within the left superior frontal gyrus, and there may be a few very small foci in the pons as well, a nonspecific finding.A focus of susceptibility is noted within the left temporal lobe just anterior to the temporal horn. On T2-weighted images, the lesion appears to contain a bubbly hyperintense center with a hypointense rim. The lesion induces no edema and there is no associated pathologic enhancement. No pathologic parenchymal or extra-axial enhancement is detected elsewhere. The ventricular system is normal in size and morphology. No evidence of acute intracranial hemorrhage or any abnormal extra axial fluid is seen.Cervical spine:Mild reversal of the normal cervical lordosis is seen. The C4 vertebral body shows a mild retrolisthesis relative to C3 and C5. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement is seen. Mild endplate edema is evident at C4 and C5, likely degenerative. No worrisome marrow enhancement is seen.The spinal cord demonstrates normal signal intensity and morphology throughout. No pathologic cord or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.C2-3: Left greater than right facet hypertrophy. No significant spinal canal stenosis. Mild left foraminal narrowing. C3-4: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe right and moderate left foraminal narrowing. C4-5: Mild posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. Severe left and moderate right foraminal narrowing. C5-6: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe left and moderate right foraminal narrowing. C6-7: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C7-T1: Left facet hypertrophy. No significant spinal canal or foraminal stenosis.
1.No definite findings are seen intracranially to account for the patient's symptoms. Specifically, no acute ischemia is detected.2.A susceptibility inducing lesion is seen within the left anterior temporal lobe with imaging characteristics suggestive of a cavernous malformation or a remote hemorrhagic insult. There is no associated parenchymal edema. This lesion is likely incidental and unrelated to the patient's presenting symptoms.3.Degenerative findings are seen in the cervical spine resulting in only mild spinal canal stenosis. Scattered foraminal narrowing is seen, however, severe at some levels. No spinal cord abnormalities are detected to account for the patient's symptoms.