Diagnosis: Muscle weakness (generalized)Clinical question: cervical disc diseaseSigns and Symptoms: hyperreflexia on the left and weakness on the right The cervical vertebral bodies are appropriate in overall alignment and height. There is reversal of the normal cervical curvature present. There is multilevel disk dessication present. Findings raise the question of a punctate signal hyperintensity in the spinal cord at the C3-4 level (image #7 sequence 4) which cannot be confirmed on axial imaging due to motion artifact.The exam is partly compromised due to patient motion.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a disk bulge at this level.At C3-4 there is a diffuse disk bulge present associated with effacement oof spinal fluid ventral and posterior to the spinal cord and mild flattening of the spinal cord. There is some narrowing of the neural foramina at this level.At C4-5 there is a diffuse disk bulge present associated with effacement oof spinal fluid ventral and posterior to the spinal cord and mild flattening of the spinal cord.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a disk bulge present at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The left vertebral artery is very small.
1.The exam is partly compromised due to patient motion which may obscure more subtle abnormalities.2.There are disk bulges at C3-4 and C4-5 with moderate spinal stenosis (worse at C3-4). A punctate focus of signal change in the cord at C3-4 is of unclear significance due to patient motion. 