33 years Female (DOB: 3/11/1982)Reason: Right side numbness History: AbovePROVIDER NAME: THOMAS J. KELLY THOMAS J. KELLY MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal. There are right sided uncovertebral osteophytes at this level associated with disk material resulting in some mild encroachment of right sided exiting nerve roots. There are smaller left sided uncovertebral osteophytes at this level.At C5-6 there is no significant compromise to the spinal canal. There are right sided uncovertebral osteophytes at this level associated with disk material resulting in some mild encroachment of right sided exiting nerve roots. There are smaller left sided uncovertebral osteophytes at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are identified in the thoracic spine.
1.There are degenerative changes in the cervical spine with some encroachment of right sided exiting nerve roots at C4-5 and C5-6.2.There is no evidence for intracranial, cervical or thoracic spine mass lesion.3.There is no evidence for cerebral or spinal cord demyelinating lesion.