Paresthesia. Evaluate for demyelinating lesions. The study is limited by patient motion.CERVICAL SPINE:There is straightening which likely reflect patient positioning. There is mild-to-moderate right and T2 signal loss involving the C4-C5 through C5-C6 intervertebral discs. This is associated with minimal degenerative signal subjacent to the inferior endplate of C4. The vertebral bodies are preserved in height. Mild degenerative spinal canal narrowing is most pronounced at C4-C5, as described lobe. The spinal cord shows normal signal characteristics and shape.C2-C3: There is no spinal canal or foraminal stenosis.C3-C4: Mild left more than right foraminal stenosis is caused by uncovertebral arthropathy. There is no central spinal canal stenosis.C4-C5: Disc-osteophyte complex is eccentric to the left causing mild left foraminal stenoses but no significant spinal canal stenosis. Left more than right facet arthropathy is mild.C5-C6: There is mild right foraminal stenosis by uncovertebral arthropathy. There is no significant spinal canal or left foraminal stenosis.C6-C7: Left more than right uncovertebral and facet arthropathy results in mild left foraminal stenosis. There is no signal spinal canal stenosis.C7-T1: There is no spinal canal or foraminal stenosis.THORACIC SPINE:Alignment is anatomic. There is about 40% anterior vertebral body height loss at T8. This is not associated with significant retropulsion, paraspinal soft tissue or gross cortical breach. The marrow signal is unremarkable accounting for minimal digit change adjacent to a central intrabody herniation along the superior endplate. Similarly, there are intrabody herniations along the superior endplates of T9, T10 and T11 vertebral bodies associated with minimal subjacent reactive signal and minimal central vertebral body height loss. Otherwise, there is no suspicious marrow signal abnormality. There is mild T2 signal loss in the mid thoracic discs but no significant disc herniation. The spinal canal is preserved. There is no foraminal stenosis is also.Multiple variably sized T2-hyperintense lesions in the spleen are nonspecific and incompletely characterized. A small T2-hyperintense lesion is also present in the medial aspect of the right liver lobe that is also incompletely assessed.
1.There is no definite cervical or thoracic spinal cord abnormality but the study is limited by motion which can obscure small lesions.2.Mild multilevel degenerative cervical spondylosis results in mild left C3-C4 and C4-C5 as well as mild right C5-C6 foraminal stenoses but no significant spinal canal stenosis.3.T8 anterior vertebral body height loss without other suspicious features as well as intrabody herniations/Schmorl's nodes involving T8-T11 vertebral bodies are suggestive of bone softening.4.Splenic lesions and possibly a liver lesion are incompletely assessed on this examination.