Unsteadiness. Increased tone and hyperreflexia in the lower extremities. Assess for myelitis. Cervical Spine: The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable apart from minimal type I degenerative signal subjacent to the C5-C6 endplates on the right, which also contrast enhances. There is multilevel disc desiccation and mild height loss. Disc-osteophyte complexes at C4-C5, C5-C6 and C6-C7 result in mild spinal canal stenosis. The cervical spinal cord displays normal signal and morphology. Uncovertebral and, to a lesser extent, facet arthropathy result in neural foraminal stenoses that is moderate to severe on the right and mild to moderate on the left at at C4-C5 and C5-C6, as well as the on the right at C3 C4. There is no abnormal intrathecal contrast enhancement. The paravertebral soft tissues are unremarkable. Thoracic Spine: The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. There is multilevel disc desiccation and height loss causing very shallow ventral indentations of the thecal sac but no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are mild neuroforaminal stenoses on the right at T4-T5, T10-T11, T11-T12, and on the left at T7-T8, T10-T11, and T11-T12. There is no abnormal spinal cord contrast enhancement. There is prominent lower esophageal contrast enhancement and diffuse mural thickening.
1.No definite evidence of spinal cord lesions.2.Multilevel degenerative cervical and thoracic spondylosis results in neural foraminal stenoses, but no significant spinal canal stenosis.3.Prominent lower esophageal contrast enhancement and diffuse mural thickening is nonspecific but may represent esophagitis. Endoscopy may be useful for further evaluation.