Diagnosis: Paresthesia of skin. Unspecified abnormalities of gait and mobilityClinical question: Evaluate for stenosis/demyelinating lesionsSigns and Symptoms: paresthesias MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge associated with small uncovertebral osteophytes at this level. There is some right-sided facet hypertrophy at this level.At C3-4 there is no significant compromise to the spinal canal. There is right-sided facet hypertrophy present at this level associated with some mild narrowing of the right neural foramen.At C4-5 there is no significant compromise to the spinal canal. There is a disc bulge associated with small uncovertebral osteophytes at this level. There is mild encroachment of the right-sided exiting nerve roots within the neural foramina at this level.At C5-6 there is no significant compromise to the spinal canal. There is a disc bulge associated with uncovertebral osteophytes at this level. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level. There is mild ligamentum flavum hypertrophy at this level.At C6-7 there is no significant compromise to the spinal canal. There is a disc bulge at this level. There is mild to mild to moderate encroachment of the left-sided exiting nerve roots at this level. In the mild encroachment of the right-sided exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are degenerative changes present in the cervical spine associated with mild encroachment of exiting nerve roots within the neural foramina.2.No abnormal lesions are appreciated within the brain parenchyma or spinal cord to suggest demyelination on this exam.