Male, 71 years old, with bilateral lower extremity paresthesias. Brain:Image quality is reduced by motion artifact on several sequences. Within this limitation, no evidence of significant parenchymal edema, mass effect or restricted diffusion is seen. No pathologic parenchymal or extra-axial enhancement is seen. Relatively few scattered small foci of nonspecific FLAIR hyperintensity are seen within the cerebral parenchyma. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. Ventricular size and morphology are within normal limits.Lumbar spine:Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow replacement, edema or abnormal enhancement is seen. The visualized distal spinal cord shows normal signal intensity and morphology. The nerve roots of cauda equina are unremarkable. No pathologic intrathecal enhancement is observed. No epidural lesions are detected. A renal cyst is evident on the right.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet arthropathy. Minimal disc bulging. No significant spinal canal stenosis. Mild left foraminal narrowing. L4-5: Facet arthropathy. Minimal disc bulging with a central annular fissure. No significant spinal canal stenosis. Mild left foraminal narrowing. L5-S1: Facet arthropathy. Loss of disc height and disc bulging asymmetric to the left. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing.
1.A few scattered small foci of nonspecific signal abnormality are evident in the cerebral parenchyma. No specific intracranial findings are seen which would account for the patient's symptoms.2.Relatively mild degenerative findings are noted in the lumbar spine. There are no areas of high-grade spinal canal stenosis. Mild to moderate foraminal narrowing is evident as above.