Cord compression, right upper extremity and right lower extremity weakness Examination is motion degraded. Vertebral body heights in the thoracic spine are normal. Alignment is normal. There are multilevel degenerative changes with disk bulges, slightly more prominent at the C7-T1 and T1-T2 levels. There is also ligamentum flavum thickening which partially effaces the dorsal thecal sac at T3-T4, T5-T6, and T7-T8 levels. There is mild to moderate spinal canal stenosis at the T10-T11 level related to bilateral facet arthropathy and ligamentum flavum thickening. No high-grade spinal canal stenosis is seen. Examination is inadequate to assess for small cord signal abnormalities. However, no obvious long segment cord signal abnormality is appreciated. There is extensive myelomalacia involving the cervical cord better demonstrated on recent cervical MRI study. Post surgical changes of anterior cervical fusion from C2 to C5 and multilevel posterior decompressive laminectomies are also noted on the localizer sequence. There is T2 hyperintensity involving the C6-C7 interspace which may be on a degenerative basis. There is moderate right neural foraminal stenosis at T4-T5 and left greater than right at T1-T2.Small bilateral pleural effusions.
Motion degraded exam demonstrates no high-grade spinal canal stenosis or obvious cord signal abnormality. Spinal canal narrowing in the thoracic spine is relatively worse at the T10-T11 level where there is mild to moderate stenosis related to facet arthropathy and ligamentum flavum thickening.Postsurgical changes and extensive myelomalacia involving the cervical cord as seen on recent cervical spine MRI.