Worsening bilateral weakness/clonus. Evaluate for cord involvement. Cervical: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Individual levels as described 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 or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: Minimal dorsal annular fissure and small central protrusion. No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.Paraspinous soft tissue structures appear within normal limits.Thoracic: The thoracic spine is in normal alignment. The vertebral body and disk heights are well-maintained. Bone marrow signal is benign. The spinal cord is of normal caliber and signal. There is no pathological enhancement.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.
1. No abnormal cord signal, enhancement, or evidence of spinal canal stenosis in the cervical spine.2. No abnormal cord signal, enhancement, or evidence of spinal canal stenosis in the thoracic spine.