Ataxia, neck pain, back pain Cervical spine: Examination is mildly motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. Minimal degenerative changes are seen including mild ligamentum flavum thickening at C5-C6 and to a lesser degree C3-C4 and C6-C7 levels. There are also minimal disc bulges at C3-C4, C4-C5, and C5-C6 levels. Trace retrolisthesis of C4 on C5 and C5 on C6 is also noted. Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Thoracic spine: The thoracic spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.
1. Minimal degenerative changes in the cervical spine without significant spinal canal or neural foraminal stenosis at any level.2. Thoracic MRI is within normal limits.