68 years Female (DOB:2/7/1948)Reason: rule out myelopathy History: spasticPROVIDER/ATTENDING NAME: RAYMOND ROOS RAYMOND ROOS Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.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. There are small endplate osteophytes present this level. There is loss of disc space height and disc desiccation as well as Schmorl's nodes at this level. There are bilateral uncovertebral osteophytes at this level. There is mild narrowing of neural foramina bilaterally at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is disc desiccation and diffuse disc bulge at this level. There are bilateral uncovertebral osteophytes at this level. There is mild narrowing of neural foramina bilaterally at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is disc desiccation and a disc bulge at this level. There is associated mild narrowing of the neural foramina. There are bilateral uncovertebral osteophytes at this level. There is mild narrowing of neural foramina bilaterally at this level.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:There is a compression fracture present at T11 with approximately 30% loss of vertebral body height and minimal retropulsion. The vertebral body at this level has high signal on T1 and mildly elevated signal on T2 STIR. There is no significant compromise to the spinal canal associated with this compression fracture.The thoracic vertebral bodies are appropriate in the overall alignment. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots.
1.There is a compression fracture at the T11 vertebral body level without significant compromise spinal canal or neural foramina. In general it has a benign appearance. It appears to be in the subacute or early chronic phase.2.There are some mild degenerative changes present in the cervical spine without significant compromise to the spinal canal or neural foramina. There is mild narrowing of neural foramina the lower cervical spine.