Reason: rule out cord compression History: Weakness of all 4 extremities status post fall, difficulty walking Abnormal T2 hyperintensity of the cord from C3-4 to C5-6 levels. Prevertebral edema throughout the cervical spine. There is edema involving the C6-7 disc space with asymmetric anterior widening and suggestion of anterior longitudinal ligament disruption compatible with hyperextension injury. Air is seen within this space on recent CT. Advanced degenerative changes throughout the cervical spine.C1/2: No evidence of foraminal narrowing or spinal canal stenosis.C2/3: Mild to moderate posterior bulging of the central disc with effacement of the thecal sac and mild spinal canal stenosis. No significant foraminal narrowing.C3/4: Posterior bulging of the disc with moderate to severe spinal canal stenosis. Moderate right and mild left foraminal narrowing. C4/5: Posterior bulging of the disc with moderate to severe spinal canal stenosis. Moderate bilateral foraminal narrowing. C5/6: Posterior bulging of the disc with moderate spinal canal stenosis. Mild bilateral foraminal narrowing. C6/7: Posterior bulging of disc with moderate spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. C7/T1: Minimal grade 1 anterolisthesis of C7 over T1. No significant spinal canal or neural foraminal stenosis.
Advanced degenerative changes throughout the cervical spine with moderate to severe spinal canal stenosis at C3-C4 and C4-C5 and to a lesser degree at the additional levels. There is edema involving the C6-C7 disc with asymmetric widening of the disc space anteriorly, suggestion of disruption of the anterior longitudinal ligament at this level, and mild prevertebral edema. These findings are consistent with recent trauma. There is extensive abnormal cord signal extending from the C3-C4 to the C5-C6 levels which is favored to represent, at least in part edema, although a component of this may reflect myelomalacia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.