Male, 30 years old, with brisk lower extremity reflexes. Assess high thoracic disk seen on cervical spine MRI. The upper thoracic spine is mildly scoliotic. Elsewhere, alignment is unremarkable. Vertebral body morphology is normal. No concerning marrow replacement or evidence for marrow edema is seen.The visualized spinal cord shows normal caliber and signal characteristics.At T2-3, there is a small right paracentral disk protrusion which barely contacts the ventral cord causing no significant spinal canal stenosis or foraminal narrowing.At T3-4, there is a small left paracentral protrusion which does not clearly contact the cord and causes no significant spinal canal or neuroforaminal stenosis.No other significant disk disease is seen. The spinal canal and neural foramina are patent throughout.
Small disk protrusions at T2-3 and T3-4 are seen which cause no significant spinal canal or neuroforaminal stenosis.The upper thoracic spine is mildly scoliotic, but the exam is otherwise unremarkable.