Gait disturbance, up going toe. Evaluate for spinal canal stenosis. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment of the cervical spine is grossly maintained. Bone marrow signal is within normal limits. No abnormal signal in the cervical cord. There are degenerative changes, as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a right paracentral protrusion which mildly indents the right ventral aspect of the cord. The dorsal thecal sac is preserved at this level. No significant neural foraminal stenosis.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
There is a right paracentral disc protrusion at the right C3-C4 level which mildly indents the right ventral cord. Dorsal thecal sac is preserved at this level. There is no significant spinal canal or neural foraminal stenosis in the remainder of the cervical spine.