49 years Female (DOB:10/11/1967)Reason: hx cervical foraminal stenosis s/p decompression 2014 Eval for stenosis or abnormality hx MS History: C/o Neck pain and Left arm painPROVIDER/ATTENDING NAME: EDWIN RAMOS EDWIN RAMOS The cervical vertebral bodies are appropriate in overall alignment and height. There are small T2 hyperintense lesions present within the cervical spinal cord including the left hemicord at C7, the right posterior lateral spinal cord at C3-4 and the central posterior aspect of the spinal cord at C2. There is no associated mass effect.There is some straightening of the normal cervical curvature present at this level.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.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal . There is loss of disc space height this desiccation, endplate osteophytes and diffuse disc bulge at this level associated with encroachment of the left-sided exiting nerve roots within the neural foramen.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The right vertebral artery is larger than the left vertebral artery.
1.There are multiple lesions in the cervical spinal cord which are concerning for demyelinating disorder. 2.There are degenerative changes present in the cervical spine associated with encroachment of left-sided exiting nerve roots at the C6-7 level.