50 years Female (DOB:1/14/1966)Reason: lt sided weakness with neck pain r/o epidural hematoma History: lt sided weakness with neck pain r/o epidural hematomaPROVIDER/ATTENDING NAME: FERNANDO D. GOLDENBERG FERNANDO D. GOLDENBERG The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is reversal of the normal cervical curvature which is a nonspecific finding which could be related to muscle spasm or patient positioning.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is a broad-based left paramedian disc protrusion which mildly encroaches on the left hemicord and left-sided exiting nerve roots.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids are identified. The left vertebral artery is very small.
1.There is a left paramedian disc protrusion present at C5-6 which mildly encroaches on the left-sided exiting nerve roots and left hemicord.2.The left vertebral artery is very small. As has been noted on the recent CTA the possibility of a high-grade stenosis at its origin cannot be excluded.