 Brain MRI: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. Mucosal thickening is present within the left maxillary sinus. Otherwise the paranasal sinuses and mastoid air cells are clear. Cervical spine MRI:There is slight straightening of the cervical spine which is likely positional. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: Mild disc bulge without significant associated mass effect or stenosis.C4/5: UnremarkableC5/6: There is a small left paracentral disc protrusion without significant associated mass effect or stenosis which abuts traversing nerve roots.C6/7: UnremarkableC7/T1: UnremarkableSagittal images demonstrate a T2/3 small bulge/protrusion which causes slight anterior cord flattening without intrinsic cord signal abnormality or resulting stenosis.
1.C5/6: There is a small left paracentral disc protrusion without significant associated mass effect or stenosis which abuts traversing nerve roots.2.Sagittal images demonstrate a T2/3 small bulge/protrusion which causes slight anterior cord flattening without intrinsic cord signal abnormality or resulting stenosis.3.No MRI evidence of syrinx as clinically questioned.