 Severe degenerative spondylosis affects the cervical spine as seen on prior CT. There is marked disc osteophyte complex and posterior element hypertrophy noted at the C3/4 level with severe spinal canal stenosis, indentation of the thecal sac and associated cord deformity. Abnormal T2/STIR cord signal at this level is noted bilaterally. There is also at least moderate spinal canal stenosis with indentation of the thecal sac at C4/5 and mild spinal canal stenosis of the lower cervical levels. Mild degenerative changes are seen in the thoracic and lumbar spine without evidence of high-grade spinal canal stenosis. Chronic right cerebellar infarct noted.
1.Examination is obtained per limited cord compression protocol with additional axial T2 images of the cervical spine. There is severe spinal canal stenosis with cord deformity at the C3-C4 level which appears chronic based on prior cervical spine CT dated 3/11/2013. There is associated abnormal cord signal at the C3/4 level which is favored to represent at least predominantly myelomalacia. Please refer to separate MRI cervical spine report for additional findings.2.No evidence of high-grade spinal canal stenosis in the thoracic or lumbar spine.Findings communicated to G. Piscitello at 2255 hours on 1/19/2016 by the on call radiology resident.