Clinical question: Evaluate for possible syrinx versus other spine lesions, likely cervical, likely compressive. Signs and symptoms: 38 year old with headache, generalized hyperreflexia and spasticity. Complete spine MRI:Examination demonstrate normal anatomical alignment of vertebral column. Very minimal degenerative changes in the cervical spine are noted.There is no evidence of spinal canal compromise or stenosis at any level.There is normal signal intensity and caliber of cord and without detectable mass effect.The signal intensity and morphology of the conus and cauda equina on this nondedicated exam appears to be normal.There is no detectable. Spinal soft tissue abnormalities. Images at the level of the foramen magnum are unremarkable.
Negative nonenhanced total spine MRI utilizing cord compression protocol.