Hyperreflexia. Evaluate for cervical spine stenosis. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. Axial images of the cervical spine are significantly degraded. There is however no convincing signal abnormality in the cervical cord on the sagittal sequences. Minimal degenerative changes are seen including small disc bulge at C3-C4, with no significant spinal canal stenosis at any level in the cervical spine. There is uncovertebral hypertrophy at the left C2-C3 and left C3-C4 levels which along with facet arthropathy contribute to mild narrowing of the left neural foramina. The neural foramina in the remainder of the cervical spine are patent. Bilateral pontine lacunar infarcts are noted and better assessed on recent brain MRI. There is nonspecific opacification of the bilateral mastoid air cells as seen previously.
1. Please note patient could not tolerate the full requested pre and postcontrast exam and only noncontrast sequences were obtained. There is no evidence of spinal canal stenosis at any level in the cervical spine. No gross cord signal abnormality within the limits of the study.2. Bilateral chronic pontine lacunar infarcts are partially imaged and better assessed on prior brain MRI.