 BRAIN: There is no acute infarct, mass, or cerebral edema. There are scattered periventricular and subcortical white matter T2 signal abnormalities which are nonspecific but similar to prior exams. The ventricles and basal cisterns are normal in size and configuration. There is no significant volume loss greater than expected for patient age, in particular no significant volume loss of the brainstem or in the cerebellar hemispheres. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There is persistent hyperintensity with corresponding T1 hypointensity and no definitive enhancement along the petrous apex.CERVICAL: Images are limited by patient motion. There is straightening of the cervical spine. The osseous marrow signal is within normal limits, although evaluation is limited secondary to incomplete fat saturation along the cervical spine. The vertebral body heights are preserved. The cord signal and caliber are within normal limits. There is no pathologic enhancement in the cervical spine, although evaluation is limited on sagittal images secondary to incomplete fat saturation along the cervical spine.C2-3: No disk herniation or spinal stenosis.C3-4: No disk herniation or spinal stenosis.C4-5: Small disk osteophyte complex with no spinal stenosis.C5-6: Small disk osteophyte complex and uncovertebral hypertrophy with no significant spinal stenosis. C6-7: Disk osteophyte complex and mild bilateral uncovertebral hypertrophy with no significant spinal stenosis. There is at most mild left foraminal narrowing.C7-T1: No disk herniation or spinal stenosis.Images of the the upper thoracic spine shows no significant disk herniation or spinal stenosis on the sagittal images. Findings are unchanged from the outside MRI.
1.Stable exam with no significant cerebellar or brainstem volume loss.2.Nonspecific white matter signal abnormalities favored to represent mild chronic microvascular ischemic changes with no acute intracranial abnormality.3.Stable exam of the cervical spine with no spinal stenosis or other significant abnormality in the cervical spine.4.Nonenhancing FLAIR hyperintense area within the left petrous apex which may represent a small amount of trapped fluid within asymmetrically pneumatized portion of the bone.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.