79 years Male (DOB: 8/13/1936)Reason: cervical cord compression History: myelopathic examPROVIDER NAME: AGNIESZKA A ARDELT AGNIESZKA A ARDELT MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.No susceptibility weighted imaging was performed.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal lesions are identified in the cervical spine. There is reversal of normal cervical curvature present. There is multilevel loss of disc space height.There are endplate and uncovertebral osteophytes present at multiple levels most prominently at C3-4, C4-5 and C5-6 but also present at C6-7. There appears to be neural foramen encroachment of exiting nerve roots at these levels. Axial imaging is rather limited. There is encroachment of exiting nerve roots due to disc osteophyte complexes bilaterally at C3-4, C4-5, C5-6 and on the left side at C6-7. The right vertebral artery flow-void is not readily identified. There is marked left-sided facet hypertrophy at C3-4.
1.There is no convincing evidence for acute ischemic cerebral infarction on this exam.2.Periventricular and subcortical white matter lesions of a moderate to marked degree are nonspecific. At this age they are most likely vascular related though they could be related to a neurodegenerative process such as nonspecific leukoencephalopathy of aging. 3.Exam is degraded due to artifact resulting from patient motion. This may obscure more subtle abnormalities.4.There are multilevel degenerative changes present cervical spine with the reversal of the normal cervical curvature and encroachment of exiting nerve roots within the neural foramina multiple levels. Please note that details are obscured in part by patient motion.5.Findings suggest slow flow or occlusion of the right vertebral artery