 Brain MRI:There are a few foci of T2 hyperintensity within the periventricular white matter, with similar appearing foci in the right cerebellar hemisphere, without associated mass effect restrict diffusion, or susceptibility abnormality.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Opacification is noted within the frontal sinuses. Otherwise the paranasal sinuses and mastoid air cells are clear. Cervical spine MRI:There are no fractures. The marrow signal is benign. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Left facet hypertrophy causes trace anterolisthesis C2 and C3 as well as moderate left neural foraminal stenosis.C3/4: Grade 1 anterolisthesis C3 on C4, posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is cord deformation, moderate central stenosis, and severe bilateral neural foraminal stenosis.C4/5: Trace retrolisthesis C4 on C5, posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is mild central and severe bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, slight ligamentum flavum thickening, bilateral uncinate hypertrophy. There is borderline central and severe bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild central, moderate to severe left neural foraminal and moderate right neural foraminal stenosis.C7/T1: Trace anterolisthesis T1 T2, asymmetric right-sided posterior osteophyte disc complex, and bilateral uncinate hypertrophy. There is mild right neural foraminal stenosis.There is a suggestion of T2 hyperintense signal within the cervical cord at the C4-C5 levels, as seen on sagittal STIR imaging, however which is not confirmed on axial T2 imaging. This may represent early myelomalacia.
1.Mild chronic small vessel ischemic disease of the brain. 2.C2/3: Moderate left neural foraminal stenosis.3.C3/4: Moderate central stenosis, and severe bilateral neural foraminal stenosis.4.C4/5: Mild central and severe bilateral neural foraminal stenosis.5.C5/6: Borderline central and severe bilateral neural foraminal stenosis.6.C6/7: Mild central, moderate to severe left neural foraminal and moderate right neural foraminal stenosis.7.C7/T1: Mild right neural foraminal stenosis.8.There is a suggestion of T2 hyperintense signal within the cervical cord at the C4-C5 levels, as seen on sagittal STIR imaging, however which is not confirmed on axial T2 imaging. This may represent early myelomalacia.