Abnormality of gait. Clinical question: disc disease. Signs and Symptoms: falls The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disc desiccation presentAt 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. There is a central disc extrusion present at this level with disc material extending behind the C3 vertebral body with mild effacement of spinal fluid ventricle but not posterior to the spinal cord. Overall there is mild spinal stenosis at this levelAt C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a small central disc protrusion present at this levelAt C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.The thyroid gland is not readily identified.Imaging is degraded by artifact related to patient motion.
1.There is a central disc extrusion present at C3-4 associated with only mild spinal stenosis.2.The examination was compromised due to patient's ability to cooperate with the exam which may obscure more subtle abnormalities.