Left-sided sciatica, lumbago.Patient has lumbar disc disease and spinal stenosis scoliosis and decreased sensation to the upper back and hyperreflexia Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is a 5 mm T2 hyperintense nodule in the left thyroid gland lobe which is also high signal on T1.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.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots.
1.There is no compromise to cervical spinal canal or thoracic spinal canal or the associated exiting nerve roots.2.No abnormal lesions are identified in the cervical spinal cord or the thoracic spinal cord to explain the patient's symptoms of hyperreflexia.3.Small left thyroid gland lobe nodule is nonspecific