Female, 34 years old, with bilateral upper extremity twitching, and with sudden onset generalized tingling of both feet. Cervical:Straightening of the cervical lordosis is likely positional. Sagittal alignment is unremarkable. Vertebral body heights are preserved. A T1/T2 hyperintense lesion within the C4 vertebral body demonstrates imaging characteristics compatible with a benign hemangioma. No evidence of concerning marrow replacement or edema is seen. The visualized spinal cord shows normal signal intensity and morphology throughout. No epidural abnormalities are suspected. The intervertebral discs are preserved. No significant compromise of the spinal canal or neural foramina is noted.Lumbar:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen. There may be a small benign hemangioma within the T11 vertebral body. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.L1-2: 7 mm dorsally projecting cyst from the left facet joint. No significant spinal canal or foraminal compromise. L2-3: No significant spinal canal or foraminal compromise. L3-4: No significant spinal canal or foraminal compromise. L4-5: Loss of disc height and T2 signal. Mild disc bulging. No significant spinal canal compromise. Minimal left foraminal narrowing. L5-S1: Mild facet arthropathy. No significant compromise of the spinal canal or neural foramina.
1.No specific findings are seen in the cervical or lumbar spine which would account for the patient's symptoms.2.Findings of mild degenerative disc disease are seen at L4-5 without significant spinal canal compromise. A subcentimeter probable synovial cyst is evident projecting dorsally from the left L1-2 facet joint.