Diagnosis: Memory loss. Weakness Clinical question: cognitive changesSigns and Symptoms: cognitive changes 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 present. The cervical spinal canal is rather large and accommodating for the spinal cord.The right lower thyroid is enlarged and measures 48 x 71 mm sagittal dimensions. It has heterogeneous signal characteristics on T2-weighted imaging but is predominantly high signal. The left lobe of the thyroid gland is also enlarged with similar signal characteristics and measures 41 x 28 mm axial dimensions and 50 x 28 mm sagittal dimensions.There are multiple T2 signal hyperintense lesions in the pons.At 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. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a minor disc bulge at this level. There is some minor posterior ligamentous hypertrophy.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a very small left paramedian disc protrusion present at this level. There is some minor posterior ligamentous hypertrophy.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a very small central disc protrusion present at this level. There is some minor posterior ligamentous hypertrophy.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There is marked thyroid gland enlargement present. Please correlate with patient's clinical history. One possibility is that this represents a goiter.2.There are some minor degenerative changes present in the cervical spine without significant compromise to spinal canal or neural foramina. No intrinsic spinal cord lesions are appreciated.3.There are multiple lesions present within the pons. Please refer to MRI of the brain from 5/12/2015 for further comments.4.There are no findings appreciated to account for the patient's weakness within the cervical spine