Assess for cord compression. Back pain L>R with saddle anesthesias, bilateral lower extremity weakness, and incontinence Degenerative changes are seen at the craniocervical junction including small effusions involving the atlantooccipital joints which are nonspecific. The cervical vertebral bodies are appropriate in height. There is mild straightening of the cervical spine which may positional. Alignment is otherwise maintained. Bone marrow signal is benign. There is multilevel disc desiccation. Additional details regarding degenerative changes as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a disc osteophyte complex including a central disc protrusion which results in moderate to severe spinal canal stenosis with deformity of the cervical cord. There is abnormal T2 hyperintensity in the cervical cord at the C3-C4 level slightly more inferiorly. There is uncovertebral hypertrophy contributing to minimal neural foraminal narrowing bilaterally.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: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Small bilateral pleural effusions are partially visualized, relatively larger on the right.
1. Disc osteophyte complex at the C3-C4 level including a disc protrusion with moderate to severe spinal canal stenosis at this level. There is associated cord signal abnormality, which is favored to represent myelomalacia.2. Small bilateral pleural effusions are partially imaged.