 No intracranial mass or mass effect. The ventricles and sulci are within normal limits for age. No extra-axial fluid collection is identified. No evidence of ischemia. There is a punctate focus of susceptibility in the left posterior parietal lobe compatible with chronic microhemorrhage versus mineralization and nonspecific. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. Pituitary gland is within normal limits for age. There is mild scattered mucosal thickening in the paranasal sinuses. Mastoid air cells are clear. Calvarium and extracranial soft tissues are grossly unremarkable.CERVICAL SPINE
1. There is a punctate focus of susceptibility effect in the left parietal lobe which may represent a chronic microhemorrhage versus calcification and nonspecific. Brain MRI is otherwise unremarkable.2. There is trace prominence of the central canal in the mid to lower thoracic cord which can be normal variant. No discrete syrinx is evident. Minimal disc protrusions at the C4-C5 and C5-C6 levels are also seen without associated spinal canal or neural foraminal stenosis. MRI complete spine is otherwise unremarkable. 