Numbness, tingling. Rule out myelopathy. Cervical: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis and suggestion of dextrocurvature. Alignment of the cervical spine is otherwise maintained. Bone marrow signal is benign. Examination is motion degraded however no evidence of high-grade spinal canal stenosis at any level is appreciated. The cervical spinal cord also has grossly normal signal characteristics. Individual levels as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal. Mild neural foraminal narrowing bilaterally related to uncovertebral hypertrophyC5-6: Small disc osteophyte complex without significant compromise to the spinal canal. Mild bilateral neural foraminal narrowing. C6-C7: No significant compromise to the spinal canal or neural foramina.C6-7: Small disc osteophyte complex and uncovertebral hypertrophy on the left. No significant compromise to the spinal canal or right neural foramen. Minimal left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.Mild nonspecific opacification of the left mastoid air cells which are partially imaged. Thoracic: The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well maintained. No worrisome focal marrow signal abnormality is appreciated. No obvious cord signal abnormality. Post gadolinium images are severely motion degraded.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.
Examination is limited to motion degradation. There is however no significant spinal canal stenosis in the cervical spine or thoracic spine. No obvious cord signal abnormality is appreciated. Post gadolinium sequences are particularly degraded but demonstrate no obvious abnormal enhancement. 