 Cervical spine:There is slight reversal normal upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Redemonstrated is opacification of the rightSinus with mucosal thickening in the remaining visualized. As the sinuses. Otherwise the visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: There is a small midline disc protrusion which indents the anterior midline cord, without intrinsic cord signal abnormality. There is also bilateral uncinate hypertrophy resulting in mild bilateral neural foraminal stenosis.C4/5: There is a left paracentral disc extrusion extending above and below the disc level causing anterior left hemicord flattening, without intrinsic cord signal abnormality. There is also left uncinate hypertrophy. There is focal leftward moderate central stenosis and mild left neural foraminal stenosis.C5/6: There is a tiny central disc protrusion without significant associated mass effect and no resulting stenosis.C6/7: UnremarkableC7/T1: UnremarkableThoracic spine:Sequences acquired towards the end of the thoracic exam are significantly motion degraded. Given this caveat:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The thoracic spinal cord is grossly unremarkable.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment.
1.Originally a complete MRI of the spine with and without contrast was ordered. Unfortunately, due to the patient's back pain, she was unable to tolerate the exam. Multiple sequences were repeated due to motion. Per nursing, no meds were available and the service was paged. The patient requested to complete the rest of exam as an outpatient. Sequences acquired towards the end of the thoracic exam are significantly motion degraded.2.No MRI evidence of cervical cord myelopathy. The thoracic cord is grossly unremarkable.3.C3/4: There is a small midline disc protrusion which indents the anterior midline cord, without intrinsic cord signal abnormality. There is also bilateral uncinate hypertrophy resulting in mild bilateral neural foraminal stenosis.4.C4/5: There is a left paracentral disc extrusion extending above and below the disc level causing anterior left hemicord flattening, without intrinsic cord signal abnormality. There is focal leftward moderate central stenosis and mild left neural foraminal stenosis.