 BRAIN: There are no significant white matter T2 signal abnormalities in the supratentorial or infratentorial brain to suggest demyelinating disease. There is no suspicious intracranial enhancement, acute infarct, mass effect or midline shift. Although this exam is not tailored to evaluate the trigeminal nerves specifically, there is no discrete mass or abnormal enhancement involving the cisternal segments of the trigeminal nerves, cavernous sinuses, or Meckel's cave. There is partially empty sella of incidental note. Brain MRI is otherwise unremarkable for age. There is a right maxillary sinus mucus retention cyst.CERVICAL: There is normal alignment of the cervical spine. The osseous marrow is benign. Artifact slightly limits evaluation however no convincing T2 signal abnormality within the cervical cord is appreciated. No abnormal enhancement within the cervical cord. The cord caliber is within normal limits. There are mild degenerative changes, individual levels as below.C2-3: Small central disk protrusion with no central spinal canal or neural foraminal stenosis.C3-4: There is mild left neural foramina narrowing related to left-sided facet arthropathy. No significant spinal canal or right neural foramina stenosis. C4-5: No disk/endplate degenerative changes, significant central spinal canal or neural foraminal stenosis.C5-6: Small disk osteophyte complex and mild bilateral uncovertebral hypertrophy with no significant spinal canal stenosis. There is minimal left and mild right neural foramina narrowing.C6-7: Small disk osteophyte complex with no significant neural foraminal stenosis or central spinal canal stenosis.C7-T1: No significant neural foraminal stenosis or central spinal canal stenosis.The imaged upper thoracic spine shows no evidence of significant disk herniation or spinal canal/neural foraminal stenosis.
1.No evidence of demyelinating disease in the brain or cervical spine. 2.Minimal cervical degenerative changes without significant central spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.