Acute SAH, Angio negative Brain MRI:There are multiple bihemispheric and supra and infratentorial diffusion restricted lesions indicating acute ischemic lesions. Considering the patient had prior diagnostic catheter cerebral angiography, these lesions are likely related to the procedure. The ventricles, sulci and cisterns are symmetric and unremarkable. Obliteration of bilateral temporo-occipital area sulci indicate redistribution of subarachnoid hemorrhage.There is no mass, mass effect, edema, midline shift. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Retention cyst on the right side of sphenoid sinus.C-Spine:There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. Degenerative changes are as follows;C12: Disc degeneration. Otherwise unremarkable. C23: Disc degeneration. Otherwise unremarkable.C34: Disc degeneration. Minimal narrowing of the right side neural foramen, otherwise unremarkable.C45: Disc degeneration. Minimal to moderate spinal stenosis due to ligamentum flavum thickening and posterior longitudinal ligament thickening. Bilateral neural foramen appear to be narrowed.C56: Disc degeneration. Minimal spinal stenosis. Diffuse narrowing of bilateral neural foraminal stenosis.C67: Disc degeneration. Otherwise unremarkable.
1. Multiple diffusion restriction lesions as described above.2. Degenerative spondylosis of C spine with multifocal various degreed neural foraminal stenosis and spina stenosis as described above.