Procedure: MRI CERVICAL SPINE WWODiagnosis: Abnormal reflexClinical question: assess for cause of hyperreflexiaSigns and Symptoms: hyperreflexia The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. The patient is status post anterior fusion from C4 through C7 with anterior plate and screws. There is osseous fusion at C4-5, C5-6 and C6-7. There is multilevel disc desiccation present.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. There is mild loss of disc space height, disc desiccation, diffuse disc bulge, endplate and uncovertebral osteophytes as well as mild posterior ligamentous hypertrophy at this level..At 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. There are some endplate osteophytes and uncovertebral osteophytes present at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There are bilateral uncovertebral osteophytes at this level with narrowing of the neural foramina and some encroachment of the exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. The vertebral artery flow voids appear to be intact.Incidental note is made of partial empty sella.The thyroid gland is asymmetric signal in size. The left lobe is larger than the right. There are cystic type lesions versus nodule in the left thyroid gland lobe.
1.The patient is status post anterior fusion. There is some mild degenerative changes present in the cervical spine.2.Left lobe of the thyroid is enlarged and contains lesions within it possibly representing either nodules or cysts. Please correlate with patient's clinical history.