64 years Male (DOB:2/9/1952)Reason: LE weakness History: as abovePROVIDER/ATTENDING NAME: KOUROSH REZANIA NINA SANTOS The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level. Some endplate reactive changes are also present.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is a broad-based right lateral recess disc protrusion present which encroaches on the right sided exiting nerve root within the neural foramen. There are associated endplate reactive changes present.At C6-7 there is a broad-based left paramedian disc protrusion present which mildly encroaches on the left-sided exiting nerve roots within the neural foramen. There are some associated ligamentum flavum hypertrophy at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.There is a T2 hyperintense lesion present within the pons which is low signal on T1. There is abnormal T2 hyperintense signal along the superior aspect of the right cerebellar hemisphere compatible with infarction.
1.There are degenerative changes present in the cervical spine associated with encroachment of the right-sided exiting nerve roots at C4-5 and the left-sided exiting nerve roots at C6-7.2.Right cerebellar infarction in the subacute stage. Please refer to MRI of the brain from 11/30/2016 for further comments.3.Old lacunar infarct in the pons.