 Images are significantly limited by patient motion. The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological spinal enhancement.There is a minimal posterior osteophyte disc complex at C6-C7 with slight left-sided prominence and left uncovertebral hypertrophy. Left facet arthropathy is also noted, contributing to overall moderate left and mild right foraminal narrowing. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the remainder of the cervical spine. There are multiple areas of abnormal nodular and perhaps leptomeningeal enhancement involving the visualized brainstem and cerebellum. These are not definitely identified on the outside brain MR images. There is extensive T2/STIR hyperintensity within the brachium pontis bilaterally. There is an oval T2 hyperintense nonenhancing T1 hypointense lesion within the midline posterior deep subcutaneous fat, which may represent an inclusion cyst.THORACIC SPINE
1.No abnormal contrast enhancement within the cervical or thoracic spinal canal, within motion limitation.2.Very minimal cervical and thoracic spondylotic changes as detailed above.3.Partially visualized abnormalities within the visualized intracranial structures, including multiple enhancing nodular lesions as well as leptomeningeal enhancement suspected along the cerebellum, not seen on outside brain MRI images. Extensive abnormal signal in the brachium pontis bilaterally. These findings are of uncertain etiology, possibly representing an inflammatory process.