Neck pain, left arm pain, paresthesias down spine. Evaluate for syrinx, demyelination, Chiari. Also low back pain. Cervical: Craniovertebral junction appears within normal limits. No findings to suggest Chiari malformation. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. There is some motion degradation on the sagittal T2 and STIR sequences; however, no abnormal cord signal is appreciated. Cord volume is maintained. No evidence of syrinx.Individual levels as described 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.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.There is a small disc bulge at the T3-T4 level which contacts the ventral cord without significant spinal canal or neural foraminal stenosis overall at this level based on the sagittal sequences.Lumbar: Examination is slightly motion degraded. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits aside from mild straightening which may positional. Bone marrow signal is benign. The conus medullaris is normal in position without signal abnormality. Apparent T2 hyperintensity in the partially imaged lower thoracic cord on sagittal T2 and STIR sequences is probably artifactual.Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Cervical and lumbar spine MRI are within normal limits for patient's age. Specifically, no evidence of demyelinating disease in the cervical cord. No evidence of syrinx. No evidence of Chiari malformation. No significant disc herniation or spinal canal or neural foraminal stenosis in the cervical or lumbar spine.2. Disc bulge at T3-T4 with mild impression on the ventral cord. Dorsal thecal sac is preserved with no significant stenosis overall at this level. 