Pt with BLE hyperreflexia, fasciculations, neck pain, evaluation for radiculopathy or myelopathy Exam is moderately limited by motion artifact.Severe degenerative changes of the cervical spine with bone marrow signal changes in the C3, C4, and C5 vertebral bodies. There is reversal of cervical lordosis centered at C4. Multilevel disc desiccation and mild to moderate disc height loss. There are prominent ventral disc osteophytes from C3 to C5. Right thyroid T2 hyperintense lesion measuring up to 2 cm partially visualized. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Spinal cord without focal signal abnormality.C1/2: No significant spinal canal stenosis or foraminal narrowing.C2/3: No significant spinal canal stenosis or foraminal narrowing.C3/4: Uncovertebral arthropathy, left greater than right. Moderate to severe bilateral foraminal narrowing. No significant spinal canal stenosis. C4/5: Moderate posterior disc osteophyte complex with left-sided prominence. There is moderate spinal canal stenosis with flattening of the left ventral spinal cord. Bilateral uncovertebral arthropathy with mild to moderate right and moderate to severe left foraminal narrowing.C5/6: Moderate posterior disc osteophyte complex with superimposed right paracentral disc protrusion. There is moderate to severe spinal canal stenosis with deformity of the right ventral spinal cord. Bilateral uncovertebral arthropathy with severe right and moderate to severe left foraminal narrowing.C6/7: Minimal posterior disc osteophyte complex. Bilateral uncovertebral arthropathy with moderate right and moderate to severe left foraminal narrowing. No significant spinal canal stenosis.C7/T1: Shallow disc protrusion. No significant spinal stenosis or foraminal narrowing. T1/T2: No significant spinal canal stenosis or foraminal narrowing.T2/T3: Seen on only the sagittal view, left foraminal disc protrusion without significant spinal canal stenosis. T3/T4: Seen on only the sagittal view, diffuse disc bulge without significant spinal canal stenosis.
1.Multilevel degenerative disc disease most severe at C5/6 level. There is moderate to severe spinal canal stenosis with deformity of the spinal cord. There is severe right and moderate to severe left foraminal narrowing. Also moderate-severe left foraminal narrowing at C4/5, C6/7 and bilaterally at C3/4.2.2 cm T2 hyperintense right thyroid lesion, partially visualized. Correlation with thyroid function tests is recommended and thyroid ultrasound may be obtained as clinically indicated.