Reason: 54 y/o with follicular lymphoma with several mos L arm heaviness, please eval for etiology History: see above Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disk dessication present.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a minor/mild disk bulge and posterior ligamentous hypertrophy at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots.
1.To the extent of visualization, there is no compromise to cervical spine or thoracic spine.2.No cervical or thoracic cord lesions are appreciated to explain the patient's left arm weakness.3.Please note that the patient refused contrast administration and did not complete axial imaging of the thoracic spine. As a result this exam is limited.