55-year-old male with worsening bilateral upper and lower neuropathy Many noncontrast sequences are degraded secondary to patient motion. Given this caveat:Cervical:Spinal alignment is anatomic. Vertebral body height and morphology are normal. No concerning areas of marrow replacement or marrow edema are seen. There is no gross abnormal marrow enhancement.The visualized spinal cord shows normal signal intensity and caliber without gross abnormal enhancement. Mild degenerative changes in the cervical spine are again seen and are unchanged. Individual levels as below.C2-3: Minimal posterior disk osteophyte formation. No significant spinal canal or neuroforaminal stenosis. Facet hypertrophy. These findings are unchanged.C3-4: Minimal posterior disk osteophyte formation. No significant spinal canal or neuroforaminal stenosis. Mild facet arthropathy. These findings are unchanged.C4-5: No significant disk degeneration, spinal canal stenosis or neuroforaminal narrowing. Mild facet arthropathy. These findings are unchanged.C5-6: Mild disk height loss and osteophyte formation. No significant spinal canal or neuroforaminal stenosis. Mild facet arthropathy. These findings are unchanged.C6-7: There is loss of disk height, disk osteophyte complex and uncovertebral hypertrophy on the left with mild to moderate narrowing of the left neural foramen. There is partial effacement of the ventral thecal sac and minimal spinal canal stenosis. No significant right neural foraminal narrowing. There is mild facet arthropathy. These findings are unchanged.C7-T1: No significant disk degeneration, spinal canal or neuroforaminal stenosis. Mild facet arthropathy. These findings are unchanged.Thoracic:The thoracic spine is in normal alignment with a normal thoracic kyphosis. There are minimal degenerative changes; the vertebral body and disk heights are otherwise well maintained. No worrisome focal marrow signal abnormality is appreciated. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine. Paraspinous soft tissue structures in the thoracic spine are unremarkable.Cord signal is grossly unremarkable given motion degradation and there is no gross abnormal enhancement.
1.Due to claustrophobia, the study was terminated at the patient's request before acquisition of all contrast enhanced imaging could be performed. Because of this, only motion degraded sagittal postcontrast images were obtained.2.Many noncontrast sequences are degraded secondary to patient motion.3.No gross abnormal signal in the spinal cord or gross abnormal enhancement.4.No high-grade spinal canal or neural foramina stenosis in the cervical spine. There are mild degenerative changes with minimal spinal canal narrowing and mild to moderate left neural foraminal narrowing at the C6-C7 level. These findings are unchanged.5.No significant spinal canal or neural foraminal stenosis in the thoracic spine.