CVA in 2011, evaluate for cervical spine lesions affecting motor tracts versus neuropathy vs myelopathy History: Persistent R sided weakness and hyperreflexia out of proportion to brain MRI findings. There is kyphotic deformity of the cervical spine, but no spondylolisthesis. There is multilevel degenerative spondylosis with small disc osteophyte complexes at C2-3 to C7-T1 with at most mild spinal canal narrowing, but up to severe neural foraminal narrowing at C3-4 through C6-7 bilaterally. There is high T2 signal in the spinal cord at the C4 level, mainly involving the grey matter, left more than right. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. There is encephalomalacia in the pons. The paravertebral soft tissues are unremarkable.
1. Kyphotic deformity of the cervical spine, but no spondylolisthesis.2. Multilevel degenerative spondylosis with small disc osteophyte complexes at C2-3 to C7-T1, with at most mild spinal canal narrowing, but up to severe neural foraminal narrowing at C3-4 through C6-7 bilaterally. 3. High T2 signal in the spinal cord at the C4 level may represent myelomalacia. 4. Chronic lacunar infarct in the pons. 