Gait impairment. Assess for cervical myelopathy. There is a diffusely congenitally narrow cervical spinal canal and multilevel degenerative spondylosis. In particular, there are posterior disc-osteophyte complexes at C2-3 through C7-T1 that indent the spinal cord. There are also moderate bilateral neural foramen stenosis at C3-4, severe bilateral neural foramen stenosis at C4-5, moderate to severe bilateral neural foramen stenosis at C5-6, and mild to moderate bilateral neural foramen stenosis at C6-7. There is high T2 signal and volume loss in the spinal cord at the C3-4 and C5-6 levels. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable. However, there is a T2 hyperintensity right thyroid nodule that measures up to 20 mm. There is patchy T2 hyperintensity in the pons.
1. Multilevel congenitally narrow cervical spinal canal and degenerative spondylosis with spinal cord compression and associated myelomalacia at the C3-4 and C5-6 levels.2. An incompletely characterized right thyroid nodule measures up to 20 mm. A dedicated thyroid ultrasound may be useful for further evaluation.3. Patchy T2 hyperintensity in the pons is incompletely characterized. Please refer to the prior brain MRI report for additional details.