 Cervical spine:There is slight reversal of the cervical curvature. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: Minimal disc bulge without significant mass effect.C4/5: There is a right paracentral disc protrusion which causes anterior right paramedian cord flattening without intrinsic cord signal abnormality as well as focal mild central stenosis.C5/6: There is a right paracentral disc protrusion which causes anterior right paramedian cord flattening without intrinsic cord signal abnormality as well as focal moderate central stenosis.C6/7: There is a central disc protrusion which causes anterior cord flattening without intrinsic cord signal abnormality and minimal central stenosis.C7/T1: UnremarkableThoracic spine:Marrow signal abnormality consisting of T1 hypointensity, T2 hyperintensity, and enhancement, are noted throughout the marrow spaces at several levels including T3, T10, T11, T12, and L1. These appear confined to the osseous structures without extension beyond cortical confines into the intraspinal epidural space. Elsewhere, similar abnormality with enhancement is noted involving the right transverse process at T6 extending into the adjacent soft tissues and rib.The vertebral body heights are maintained. Redemonstrated is an atrophic left kidney and absence of the right kidney.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates a tiny right paracentral disc protrusion without significant resulting mass effect or stenosis.T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates a tiny left paracentral disc protrusion without significant resulting mass effect or stenosis.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates a right paracentral disc protrusion causing anterior right hemicord flattening without intrinsic cord signal abnormality.T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment.
1.C4/5: There is a right paracentral disc protrusion which causes anterior right paramedian cord flattening without intrinsic cord signal abnormality as well as focal mild central stenosis.2.C5/6: There is a right paracentral disc protrusion which causes anterior right paramedian cord flattening without intrinsic cord signal abnormality as well as focal moderate central stenosis.3.C6/7: There is a central disc protrusion which causes anterior cord flattening without intrinsic cord signal abnormality and minimal central stenosis.4.Marrow signal abnormality consisting of T1 hypointensity, T2 hyperintensity, and enhancement, are noted throughout the marrow spaces at several levels including T3, T10, T11, T12, and L1. These appear confined to the osseous structures without extension beyond cortical confines into the intraspinal epidural space. Elsewhere, similar abnormality with enhancement is noted involving the right transverse process at T6 extending into the adjacent soft tissues and rib. These findings are consistent with lymphomatous involvement.5.T3/4 demonstrates a tiny right paracentral disc protrusion without significant resulting mass effect or stenosis.6.T5/6 demonstrates a tiny left paracentral disc protrusion without significant resulting mass effect or stenosis.7.T7/8 demonstrates a right paracentral disc protrusion causing anterior right hemicord flattening without intrinsic cord signal abnormality.