55-year-old male with a history of acute onset left arm weakness, prior c-spine imaging suspect for C5 cord compression. Patient motion severely limits evaluation of fine details, making evaluation for cord signal abnormality impossible. The cervical vertebral bodies are appropriate in overall alignment and height. There is straightening of the cervical curvature present. There is multilevel disk dessication present. At C2-3 there is a small disk bulge but no significant compromise to the spinal canal or neural foramina. At C3-4 there is a disk bulge present which causes effacement of spinal fluid ventral and posterior to the spinal cord and mild flattening of the spinal cord. There is some narrowing of the neural foramina at this level.At C4-5 there is a disk bulge present associated with effacement of spinal fluid ventral and posterior to the spinal cord and mild flattening of the spinal cord.At C5-6 there is a disk bulge but no significant compromise to the spinal canal or neural foramina. At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The left vertebral artery is very small. Partially visualized multifocal foci of encephalomalacia of the pons which has been characterized on prior Brain MRIs.
1.Patient motion severely limits evaluation of fine details, making evaluation for cord signal abnormality impossible.2.Redemonstrated are stable disk bulges at C3-4 and C4-5 with moderate spinal stenosis (worse at C3-4).