Cervical root lesions, not elsewhere classified [353.2], Reason for Study: ^Reason: Cervical syrinx, persistent shoulder and back pain History: Shoulder and back pain Extensive syrinx cavity from the cervical cord to the thoracic cord is again demonstrated.The syrinx cavity started from the C2 level and extends toward the T10-11 disc level. No change since prior scan.The largest diameter of the syrinx cavity is about 9.8 mm x 6.9 mm which does not show any significant interval change since prior scan.Small signal void at the T1 level syrinx cavity which may indicate hemosiderin deposition, is again demonstrated, no change since prior scan.C-SpineCranial cervical junction is crowded as described before. No change since prior scan.There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance.Subtle desiccation of intervertebral disc was from C2-C3 to C5-6, however, there is no evidence of spinal canal stenosis. At the level of C67, there is ligamentum flavum thickening with the minimal bulging of disc, again no change since prior scan.T-Spine:Thoracic spine alignment is normal, with the normal kyphotic angulation. The vertebral body heights are maintained. Marrow signal intensity is benign throughout.There is no evidence of spinal canal stenosis or neural foraminal stenosis.There is no evidence of intervertebral disc bulge of protrusion.
1. No change of expanded syrinx from C2 to T10 11 level.2. No evidence of significant spinal canal stenosis or neuroforaminal stenosis on the scan. No change since prior scan.