51 years Female (DOB:12/6/1964)Reason: Bilateral arm numbness History: AbovePROVIDER/ATTENDING NAME: THOMAS J KELLY THOMAS J KELLY The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is a millimeter diameter and 1 cm length T2 hyperintense focus along the posterior aspect of the spinal cord at the C2 and C3 vertebral body levels.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a disc bulge at this level associated with small uncovertebral osteophytes and small endplate osteophytes. There is narrowing of the neural foraminaAt C4-5 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a disc bulge at this level associated with small uncovertebral osteophytes and small endplate osteophytes.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a disc bulge at this level associated with small uncovertebral osteophytes and small endplate osteophytes. There is mild narrowing of the neural foramina bilaterally at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a disc bulge at this level associated with small uncovertebral osteophytes and small endplate osteophytes.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are multilevel degenerative changes present in the cervical spine without significant compromise to the spinal canal or exiting nerve roots.2.No abnormal mass lesions are appreciated within the spinal cord3.There is a linear signal hyperintense lesion along the posterior aspect of the spinal cord along the midline measuring a millimeter in diameter and a centimeter in length. Its significance is unknown it could represent old focus of injury though could also represent an old focus of demyelination. Its location corresponds to the posterior median fissure of the spinal cord which is adjacent to the fasciculus gracilis. This would therefore not readily explain the patient's symptoms of upper extremity numbness.