 Enhancing lesion involving the involving the inferior cerebellar vermis and inferior fourth ventricle is again seen. The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement.Mild degenerative changes are present in the cervical spine including small disc osteophyte complexes and uncovertebral hypertrophy, worst at the C4-C5 level where there is moderate right and mild left neural foraminal stenosis. There is also mild right C5-C6 neural foraminal stenosis. Spinal canal is grossly patent aside from mild developmental narrowing.THORACIC SPINE
1. No evidence of spinal drop metastases.2. Mild developmental narrowing of the spinal canal, and mild degenerative changes as described above.