40 years Female (DOB:5/7/1975)Reason: patient with mild cervical-thoracic scoliosis with worsening thoracic back pain and new heaviness/clumsiness of the right arm - evaluate for nerve compression, spinal stenosis or other History: back painPROVIDER/ATTENDING NAME: GEORGE W WEYER GEORGE W WEYER 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 mild reversal of the normal cervical curvature 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. There is a disc bulge at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is mild loss of disc space height, endplate osteophyte formation or disc bulge 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. Some small foci of T1 signal hyperintensity within the thoracic spine are present which could represent focal fatty replacement or hemangioma.There is a mild dextrocurvature to the thoracic spine.
1.There are some degenerative changes present in the cervical spine without significant compromise to spinal canal or neural foramina.2.There is no significant compromise to the thoracic spinal canal or exiting nerve roots.