Female, 35 years old, complaining of left arm pain and weakness radiating from the neck after chiropractic manipulation. Evaluate for cord impingement. No evidence of cord compression is seen. Within the limitations of this examination, no spinal cord signal abnormality is appreciated.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Partial sacralization of the L5 vertebral body is seen. Marrow signal characteristics are unremarkable.A small disc protrusion is evident at T4-5 without significant cord impingement or spinal canal stenosis. A disc protrusion and possible disc extrusion are seen at L4-5, again without significant spinal canal stenosis.
1.No acute abnormalities and, in particular, no evidence of acute cord compression.2.Degenerative disc findings can be assessed with nonemergent dedicated imaging if clinically warranted.