Left upper extremity weakness and cervicalgia, evaluate for surgical pathology. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has grossly normal signal characteristics and overall morphology. There is no acute compression of the spinal cord.There is a focal area of high T1 and T2 signal intensity involving the posterior aspect of C4 vertebral body which is unchanged from prior MRI and may represent a hemangioma. There is mild to moderate degenerative changes in the cervical spine including disc osteophyte complexes at C3-C4, C4-C5, C5-C6 and C6-C7 levels resulting in mild indentation on the ventral thecal sac, which has progressed from prior. There is scattered disc space narrowing and disc desiccation in the thoracic spine. There is minimal narrowing of L4-L5 and L5-S1 discs with desiccation.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No acute cord compression is identified.2. Spondylotic changes throughout the spine as described with interval progression of cervical spine degenerative changes.