 There are skip-like T2 hyperintense abnormalities involving the dorsal midline cervical cord, in the expected location of the dorsal columns, which appear globular and extend from the C3 level to the C7/T1 level. At its maximum size, it measures 2 x 2 mm at C5/6.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Mild degenerative changes without stenosisC3/4: Bilateral uncinate hypertrophy causes mild bilateral neural foraminal stenosis.C4/5: Bilateral uncinate hypertrophy causes minimal bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild-to-moderate left and mild right neural foraminal stenosis.C6/7: Mild degenerative changes without stenosisC7/T1: UnremarkableDegenerative changes are noted of the upper thoracic spine without significant resulting stenosis.
1.There are skip-like T2 hyperintense abnormalities involving the dorsal midline cervical cord, in the expected location of the dorsal columns, which appear globular and extend from the C3 level to the C7/T1 level. The differential diagnosis for this would most likely include subacute combined degeneration, infectious myelitis, inflammatory demyelination (multiple sclerosis, ADEM), or acute transverse myelitis. Recommendations are made to obtain MR imaging of the complete spinal axis with gadolinium enhancement for further characterization of the visualized cervical lesions as well as extent of spinal cord involvement.2.Mild degenerative changes throughout the cervical spine resulting in mild or mild to moderate stenoses as described in detail above.3.Findings were discussed with Dr. Issa on 12/28/2016 at 8:20 AM.