60 years, Female, sensory disturbances in the extremities, evaluate for white matter disease and demyelination.. Brain: Brain parenchyma appears within normal limits for age. No significant parenchymal T2/FLAIR signal abnormalities are seen to suggest demyelinating or other white matter disease. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Brain parenchymal volume is within normal limits. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Partially empty sella incidentally noted, which can be normal variant. Minimal mucosal thickening in the paranasal sinuses. Heterogeneous low T1 marrow signal is noted which is nonspecific and can be seen in conditions such as chronic anemias; no destructive osseous lesions. Cervical Spine: The cervical spinal cord has normal signal characteristics and overall morphology without evidence of demounting disease. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. Mild degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: Small disc protrusion. No significant spinal canal or neural foraminal stenosis.C5-6: Small disc osteophyte complex which partially effaces the ventral thecal sac. Minimal spinal canal stenosis. There is mild left neural foraminal narrowing. No significant right neural foraminal narrowing.C6-7: Disc osteophyte complex and uncovertebral hypertrophy on the left. There is partial effacement of the ventral thecal sac. Minimal spinal canal stenosis. There is moderate left neural foraminal stenosis and minimal right neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.No abnormal enhancement. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. MRI of the brain is within normal limits for patient's age. Specifically, no findings to suggest demyelinating disease.2. No cervical cord signal abnormality to suggest demyelinating disease.3. Mild degenerative changes in the cervical spine as detailed above with small disc osteophyte complexes at C5-C6 and C6-C7 resulting in minimal spinal canal narrowing. There is moderate left-sided neural foraminal stenosis at the C6-C7 level which may which may be impinging on the left C7 nerve root.