Brisker reflexes on right side Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild straightening of the cervical spine and minimal anterolisthesis of C2 on C3. Alignment of the cervical spine is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Minimal degenerative changes are seen in the cervical spine 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: Minimal disc bulge. No significant compromise to the spinal canal or neural foramina.C5-6: Minimal disc bulge. 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. Small left perineural cyst incidentally noted.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Visualized brain parenchyma demonstrates diffuse cerebellar atrophy. There is a heterogeneous cystic and solid mass at the level of the bilateral thyroid lobes, which is obscured by the saturation band. The enlarged thyroid gland measures up to 7 cm in the craniocaudal dimension.
1. No abnormal cord signal or evidence of significant spinal canal stenosis at any level in the cervical spine. 2. Partially imaged brain demonstrates diffuse cerebellar atrophy, as seen on recent head CT.3. Enlarged thyroid gland with multiple large cystic and solid nodules, findings better assessed on recent ultrasound from 7/13/2015.