 Brain MRI:There are scattered foci of T2 hyperintensity throughout the white matter, primarily subcortical in location, without associated mass effect, restricted diffusion, or susceptibility abnormality. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and left mastoid air cells are clear. Fluid is noted within a couple dependent right mastoid air cells. There is no abnormal enhancement.Cervical spine MRI:There are no fractures. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Mild left facet hypertrophy without stenosis.C3/4: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and mild left facet hypertrophy. There is moderate left neural foraminal and mild right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, slight ligamentum flavum thickening, and mild right facet hypertrophy. There is mild central and mild bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and slight ligamentum flavum thickening. There is mild central and moderate bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is moderate bilateral neural foraminal stenosis.C7/T1: Unremarkable
1.Chronic small vessel ischemic disease.2.Fluid is noted within a couple deep in the right mastoid air cells.3.C3/4: Moderate left neural foraminal and mild right neural foraminal stenosis.4.C4/5: Mild central and mild bilateral neural foraminal stenosis.5.C5/6: Mild central and moderate bilateral neural foraminal stenosis.6.C6/7: Moderate bilateral neural foraminal stenosis.