The medulla oblongata as well as the cervicomedullary junction, cervical and scanned upper thoracic cord is grossly enlarged with diffusely hyperintense T2 and FLAIR signal intensity as well as mildly hypointense T1 signal with some restricted diffusion and mild heterogeneous post-contrast enhancement.
The clivus and the skull base as well as the scanned cervical and upper thoracic bony spine show fatty infiltration with hyperintense T1 and T2 signal intensity.
No nasopharyngeal mass lesions.
Normal size and configuration of the ventricular system.
No supratentorial mass lesions or definite parenchymal areas of abnormal signal intensity.
Normal cortical sulci with no extra-axial collection.
Normal cerebellum.
Bilateral otomastoiditis with T2 prolongation as well as mild ethmoidal and sphneoidal sinusitis.