42-year-old female with headaches and vision change. History of CVA. No evidence of hemorrhage, mass-effect, midline shift or hydrocephalus. No evidence of any acute or chronic stroke is detected on this exam. Cortical sulci, ventricular system and all CSF cisterns remain within normal limits. Widening of the level from in magnum with bony remodeling is highly suspected ectopic cerebellar tonsils. Further evaluation with an MRI is recommended.
1.No evidence of acute findings.2.Suspected ectopic cerebellar tonsils with bony remodeling at the level of foramen magnum.