Numbness/pain and tingling of left arm. The examination is limited due to extensive motion artifact.CERVICAL SPINE: The cervical lordosis is preserved, but there is mild retrolisthesis of C3 over C4, C5 over C6, and C6 over C7. There is congenital narrowing of the spinal canal. The spinal cord demonstrates grossly normal caliber and signal intensity. There is mild heterogeneity of the bone marrow signal. The paravertebral soft tissues are unremarkable.Additional findings by level:C2-3: There is no significant disc herniation, neural foraminal stenosis, or spinal stenosis.C3-4: There is a posterior disc osteophyte complex and hypertrophy of the ligamentum flavum resulting in mild spinal cord impingement and probable mild bilateral neural foraminal stenosis.C4-5: There is a posterior disc osteophyte complex and hypertrophy of the ligamentum flavum resulting in mild spinal cord impingement without significant neural foraminal stenosis.C5-6: There is a posterior disc osteophyte complex and hypertrophy of the ligamentum flavum resulting in mild spinal cord impingement and at least mild bilateral neural foraminal stenosis.C6-7: There is a posterior disc osteophyte complex and hypertrophy of the ligamentum flavum resulting in mild to moderate spinal stenosis without significant neural foraminal stenosis.C7-T1: There is no significant disc herniation or neural foraminal stenosis.THORACIC SPINE: The thoracic kyphosis is preserved. The vertebral body heights are maintained. There is heterogeneous bone marrow signal, with multiple T1 and T2 hyperintense lesions. The largest lesion is in the T5 vertebral body, measuring up to 2 cm. There are additional lesions in the T2, T7, T8, T10, and T12 vertebral bodies. There is no evidence for pathologic fracture. There is no evidence for tumor within the thoracic spine. The thoracic spinal cord demonstrates normal signal intensity and morphology. There are scattered intravertebral disc herniations. There is no significant disc herniation, spinal stenosis, or neural foraminal stenosis. The paravertebral soft tissues are unremarkable.
1. Limited examination without intravenous contrast demonstrates multifocal T1 and T2 hyperintense lesions throughout the thoracic spine, but no compression fractures. These likely represent atypical hemangiomas, but the possibility of metastatic disease is also a consideration.2. No evidence for tumor within the spinal canal although assessment is limited by the lack of contrast and extensive motion artifact.3. Degenerative spondylosis of the cervical spine superimposed upon congenital spinal canal narrowing with multilevel impingement upon the spinal cord.4. No significant thoracic spinal canal narrowing.