Acute stroke and pituitary adenoma with muscle spasms. Evaluate for myopathy. Examination is mildly motion degraded. Craniovertebral junction appears within normal limits aside from mild retroodontoid soft tissue without significant associated stenosis. The cervical vertebral bodies are appropriate in height. There is reversal of cervical lordosis with kyphotic angulation with apex at the C5-C6 level. There is also grade 1 anterolisthesis of C4 on C5. Bone marrow signal is benign. No abnormal enhancement in the spine or paraspinous soft tissues.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine with small disc osteophyte complexes at the C4-C5 and C5-C6 levels. There is also mild ligamentum flavum thickening at the C2-C3 and C3-C4 levels. Additional details as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina. C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.There is moderate degree of bilateral facet arthropathy throughout the cervical spine, relatively worse at the left C3-C4 and C4-C5 levels as well as the right C2-C3 and C3-C4 levels. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Pituitary mass is partially imaged.
1. Degenerative changes in the cervical spine without significant spinal canal or neural foraminal stenosis at any level. No cord signal abnormality.2. Reversal of cervical lordosis with apex at the C5-C6 level, grade 1 anterolisthesis of C4 on C5, and multilevel facet arthropathy.3. No abnormal enhancement in the spine or paraspinous soft tissues. 