 BRAIN: There are minimal punctate foci of T2 hyperintensity in the cerebral white matter, as in the posterior right putamen. There are also punctate foci of susceptibility effect in the right cerebellar hemisphere and right thalamus. There are no abnormal enhancing lesions. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.CERVICAL SPINE: The vertebral body heights and intervertebral disc spaces are well-maintained. There is straightening of the cervical spine. There is disc desiccation at C2-3, C3-4, and C5-6. There is mild disc osteophyte complex formation at C3-4 and C5-6, eccentric to the left, with mild left neuroforaminal stenosis at C3-4. There is also a minimal disc osteophyte complex is at C4-5, but no significant neuroforaminal or spinal canal stenosis. There is no spinal cord signal abnormality or enhancing lesions. There is no abnormal marrow signal. The paravertebral soft tissues are unremarkable.
1. Nonspecific minimal punctate foci of T2 hyperintensity in the cerebral white matter, as in the posterior right putamen. 2. Punctate foci of susceptibility effect in the right cerebellar hemisphere and right thalamus are also nonspecific and may represent chronic microhemorrhages or mineralization.3. Mild spondylotic changes affect cervical spine without significant neuroforaminal or spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.