Female, 51 years old, with history of amyotrophic lateral sclerosis and bilateral upper extremity weakness with EMG showing denervation in the cervical and thoracic myotomes. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of concerning marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology except as discussed below.At T5-6, there is a central disc protrusion with mild flattening of the ventral cord but no significant cord signal abnormality. The neural foramina are patent.At T6-7, there is a central/left paracentral disc protrusion with mild flattening of the ventral cord but no cord signal abnormality. The neural foramina are patent.At T7-8, there is a central/right paracentral disc protrusion with mild flattening of the ventral cord but no cord signal abnormality. The neural foramina are patent.At T11-12, there is moderately severe facet hypertrophy and a mild disc bulge but without significant spinal canal or foraminal stenosis.Mild disc degeneration is evident in the partially visualized lower cervical region.
1.No significant abnormalities of the spinal cord are identified.2.Relatively mild degenerative findings are seen with small disc protrusions at T5-6 through T7-8, as well as a disc bulge and facet hypertrophy at T11-12. 3.No high-grade spinal canal or foraminal stenosis is observed.