Diagnosis: Anesthesia of skinDiagnosis Edits: Clinical question: please do Dr Javed MS protocol,Signs and Symptoms: numbness Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal lesions are appreciated in the cervical spinal cord.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 are endplate uncovertebral osteophytes present at this level associated with a disc bulge and disc desiccation.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a left paramedian disc protrusion at this level which is partially effacing spinal fluid ventral to the left hemicord. There is a perineural cyst present in the left neural foramen at this level. There are some small endplate osteophytes present.At C6-7 there is no significant compromise to the spinal canal. There is a left paramedian disc protrusion at this level which partially effaces spinal fluid ventral to the left hemicord and mildly encroaches on the nerve roots at the left lateral recess.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is a small central disc protrusion at this levelThe vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal lesions are appreciated. Thoracic spinal cord. There is a T1 hyperintense 12 mm focus in the L1 vertebral body probably representing a vertebral body hemangioma. Similar lower lesion is also present at T5.No abnormal enhancing lesions are appreciated in the thoracic spine.A cystic lesion is present in the left kidney measuring 10 mm in diameter. It does not enhance following gadolinium and has low signal on T1-weighted imaging.
1.There are degenerative changes present in the cervical spine with mild encroachment of the left-sided exiting nerve roots at C6-7.2.No abnormal spinal cord lesions are identified to suggest demyelination.3.Cystic lesion within the parenchyma of the right kidney most likely represents a simple cyst