Evaluate for cause of acute on chronic weakness and pain in the left arm and shoulder. 47-year-old female with lymphoma status post chemotherapy. Worsening pain and weakness in left arm and shoulder. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign with T1 hyperintense focus at T2 compatible with hemangioma.The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancement.Minimal degenerative changes are seen throughout the cervical spine with minimal disc bulges at all levels from C2-C3 to C6-C7 with partial effacement of the ventral thecal sac, relatively worse at C5-C6 and C6-C7. Individual levels as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.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. No abnormal enhancement.
1. Minimal degenerative changes in the cervical spine without significant spinal canal or neural foraminal stenosis at any level. 2. No abnormal cord signal. No abnormal enhancement or mass involving the spinal canal.