 C-spine:A small focus of signal abnormality is suspected within the spinal cord at the C6 level. However, this is only identified on the sagittal STIR sequence without confirmation on other sequences. Elsewhere, spinal cord signal intensity and morphology are unremarkable. No pathologic cord enhancement is seen.Spinal alignment is anatomic. Vertebral body heights are preserved. No worrisome marrow signal replacement or enhancement is detected.C2-3: Unremarkable. C3-4: Unremarkable. C4-5: Mild facet hypertrophy. Mild posterior disk osteophyte formation with perhaps some thickening of the PLL. No significant spinal canal or neuroforaminal stenosis. C5-6: Mild posterior disk osteophyte formation along with some thickening of the PLL. Mild spinal canal narrowing. No cord impingement. Moderate left foraminal narrowing. C6-7: Mild posterior disk osteophyte formation along with PLL thickening. No significant spinal canal stenosis. Moderate right and mild left foraminal narrowing. C7-T1: Left facet hypertrophy. Mild bulging disk. No significant spinal canal or neuroforaminal stenosis. T-spine:Cord morphology and signal characteristics are within normal limits. No definite pathologic cord or leptomeningeal enhancement is seen.A small defect is evident within the left dorsal epidural fat at T5 which does not enhance and which follows fluid signal characteristics. The spinal canal is not significantly narrowed at any point. The neural foramina remain patent. Mild disk bulging is evident at T12-L1 and L1-2.Spinal alignment is anatomic. Vertebral body morphology is within normal limits. No pathologic marrow signal intensity or enhancement is observed.
1.A questionable focus of cord signal abnormality is evident at C6, seen only on one sequence however. This is nonspecific and may be artifactual.2.No discrete spinal cord abnormalities are evident elsewhere in the cervical or thoracic spine.3.Mild degenerative findings are noted in the cervical spine without any high-grade spinal canal stenosis.4.A small incidental cystic lesion is suspected within the left dorsal epidural space at T5 which may represent a developmental cyst or a cyst of the ligamentum flavum.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.