Leg and arm weakness, paresthesias, urinary incontinence. 2004 Bell's palsy surgery. Examination is mildly motion degraded. There is development narrowing of the spinal canal with suggestion of disc protrusion at the C4-C5 level which can be better assessed with dedicated cervical spine study. Vertebral bodies are appropriate in the overall alignment and height. The spinal cord has grossly normal signal characteristics. There is no significant spinal canal stenosis in the thoracic or lumbar spine. There is diffuse low T1 marrow signal which is nonspecific. No focal destructive osseous lesions.
1. Limited exam per cord compression protocol which is also mildly motion degraded. There is developmental narrowing of the cervical spinal canal with suggestion of superimposed disc protrusion at the C4-C5 level and associated up to moderate spinal canal stenosis at this level. Recommend dedicated cervical spine study for better evaluation. No significant spinal canal stenosis in the thoracic or lumbar spine.2. Diffuse low T1 marrow signal which is nonspecific and can be seen with marrow reconversion related to anemia, chronic illnesses, as well as marrow proliferative disorders.Dr. Ali discussed findings with Dr. Greenwald in the ED at 1045 hrs on 8/25/2016.