Left sided weakness and numbness and generalized pain after episode of syncope and a traumatic fall 10 days ago. Rule out stroke and cervical spine traumatic change. The study is mildly limited by patient motion.BRAIN MRI:There is no acute brain infarct or intracranial hemorrhage. There is no abnormal brain signal. The ventricles and the subarachnoid spaces are not dilated. There is no midline shift or brain herniation. The major intracranial vascular flow voids are preserved, reflecting gross patency. Following contrast demonstration, there is no abnormal intracranial contrast enhancement. A partial empty sella is probably incidental. There are no abnormal enhancing foci.There is no gross orbital abnormality. Mastoid air cells are clear. There is trace maxillary and ethmoid sinus mucosal thickening, most likely of no significance. There is no destructive skull lesion.CERVICAL SPINE MRI:Alignment is anatomic. The vertebral bodies are preserved in height. Marrow signal shows no suspicious abnormality, accounting for mild irritative changes subjacent to the endplates, most pronounced at C4-C5. There is disc desiccation at most levels. The spinal canal is fairly preserved. The spinal cord shows normal shape and signal. There is no abnormal spinal cord, nerve root or leptomeningeal contrast enhancement. Redemonstrated is advanced periodontal disease.C2-C3: Minimal disc bulge but no spinal canal or foraminal stenosis.C3-C4: Very shallow disc-osteophyte complex with underlying uncovertebral arthropathy result in no significant spinal canal or foraminal stenosis.C4-C5: Shallow disc-osteophyte complex causes no spinal canal stenosis. Uncovertebral and facet arthropathy results in mild bilateral foraminal stenoses.C5-C6: There is no spinal canal or foraminal stenosis.C6-C7: There is shallow ventral indentation of the thecal sac by disc-osteophyte complex but no spinal canal stenosis. There is mild-to-moderate left facet arthropathy but no foraminal stenosis.C7-T1: There is no spinal canal or foraminal stenosis.
1.The study is mildly limited by patient motion.2.No acute brain infarct. No abnormal intracranial contrast enhancement. 3.Mild multilevel degenerative cervical spine disease without significant spinal canal or foraminal stenosis.4.Redemonstrated is advanced periodontal disease.