 The cervical spine is in normal alignment with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological cord enhancement. Fairly extensive edema and increased enhancement is seen within the left posterior paraspinal musculature at the cervicothoracic junction.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine. THORACIC SPINE
1.Nonspecific, nonenhancing upper thoracic cord signal abnormality slightly less prominent than prior exam. Differential considerations include inflammation, transverse myelitis, ischemia, or less likely pre-syrinx state.2.Cervical and lumbar paraspinous edema/myositis.3.Mild lumbar spine degenerative changes as described above including L5-S1 disc protrusion which abuts the right S1 nerve root and could produce radicular symptoms.4.Bilateral lower lobe atelectasis.Findings discussed by Dr. Ali with Dr. Reubeiz (neuro critical care fellow) at 5 p.m. on 8/28/2015. 