 Brain MRI:There are scattered foci of T2 hyperintensity within the white matter without associated mass effect, restricted 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. The paranasal sinuses and mastoid air cells are clear. Cervical spine MRI:Alignment is anatomic. 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.C1/2: Ligament thickening both anteriorly and posteriorly encroached central canal, however without resulting stenosis.C2/3: Mild left facet hypertrophy, moderate right facet hypertrophy and ligamentum flavum thickening. There is mild right neural foraminal stenosis.C3/4: Minimal posterior osteophyte disc complex, severe left facet hypertrophy, and mild right facet hypertrophy. There is mild-to-moderate left neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, ligamentum flavum thickening thickening, moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild to moderate left neural foraminal and mild right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is mild central, severe left neural foraminal, and moderate right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is mild bilateral neural foraminal stenosis.C7/T1: Unremarkable
1.Mild chronic small vessel ischemic disease of the brain.2.C2/3: Mild right neural foraminal stenosis.3.C3/4: Mild-to-moderate left neural foraminal stenosis.4.C4/5: Mild to moderate left neural foraminal and mild right neural foraminal stenosis.5.C5/6: Mild central, severe left neural foraminal, and moderate right neural foraminal stenosis.6.C6/7: Mild bilateral neural foraminal stenosis.