 MRI brain: There are no areas of abnormal T2/FLAIR signal in the supratentorial or infratentorial compartment to suggest demyelinating disease. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. MRI cervical spine: There is straightening of the cervical spine, which may be positional. Otherwise, the cervical spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.There is mild degenerative changes in the cervical spine. At C5-C6, there is central disc osteophyte complex causing mild indentation on the ventral thecal sac. No evidence of neuroforaminal narrowing or spinal canal stenosis. Remaining intervertebral disc levels show no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine. There are a few subcentimeter rounded T2 hyperintense lesions in the bilateral thyroid lobes.
1. Unremarkable MRI of the brain. Specifically there is no evidence of demyelinating lesions in the brain parenchyma.2. MRI of the cervical spine shows no evidence of demyelinating disease.3. Mild degenerative changes in the cervical spine without significant neural foraminal stenosis or spinal canal stenosis.4. Subcentimeter T2 hyperintense lesions in the thyroid gland bilaterally. Please correlate with TFTs, and consider further evaluation with dedicated thyroid ultrasound.