Rule out cervical stenosis found on prior MRI. Prior study raised question of signal abnormality of cord at C2-C3: is this real? hx of lymphoma now in remission History: weakness writing with R hand, spasms LUE, can't walk more than a mile without limping Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Osseous fusion involving the C6 and C7 vertebral bodies is noted. There is mild reversal of cervical lordosis. Bone marrow signal is benign. There is no appreciable cord signal abnormality at the C2-C3 level, as questioned. Punctate T2 hyperintensity is present involving the left ventral aspect of the cord at the C3-C4 level, best seen on sagittal STIR series 4 image 9 and sagittal T2 series 3 image 9 as well as the left sagittal T2 oblique sequence. Cord signal is otherwise unremarkable.There is developmental narrowing of the cervical spinal canal related to pedicle hypoplasia with superimposed degenerative changes as detailed below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Disc osteophyte complex superimposed on developmental narrowing contributes to moderate spinal canal stenosis. There is prominent uncovertebral hypertrophy with severe right and moderate to severe left neural foraminal stenosis. Prominent right-sided facet arthropathy.C4-5: Disc osteophyte complex superimposed on developmental narrowing contributes to moderate spinal canal stenosis. Prominent bilateral uncovertebral hypertrophy, particularly on the right results in severe right and moderate left neural foraminal stenosis. C5-6: Disc osteophyte complex with a prominent right paracentral component with associated with moderate spinal canal stenosis particularly involving the right aspect of the spinal canal. Uncovertebral hypertrophy, particularly on the right, results in severe right and moderate left neural foraminal stenosis. C6-7: Left posterior osteophyte with mild narrowing of the spinal canal and mild neural foraminal stenosis, left relatively greater than right.C7-T1: Disc osteophyte complex including central/bilateral paracentral disc protrusion. There is moderate spinal canal stenosis at this level. There is severe right and moderate left neural foraminal stenosis.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. There is moderate degree of spinal canal stenosis at the C3-C4, C4-C5, C5-C6, and C7-T1 levels. There is also moderate to severe neural foraminal stenoses at multiple levels, right greater than left. Please see additional details above.2. There is punctate T2 signal abnormality involving the left ventral aspect of the cord at the C3-C4 level which is nonspecific but may be related to compressive myelopathy.3. No evidence of lymphoma involving the cervical spine, within the limits of noncontrast MRI.