Reason: Evaluate for cervical myelopathy History: LE weakness, hyperreflexia, LE numbness Cervical spine: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 appreciated in the cervical spine. There is multilevel disk desiccation present.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a small central broad-based disk protrusion present at this levelAt C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a minor disk bulge present at this levelAt C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a minor disk bulge present at this levelAt C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a minor disk bulge present at this levelAt 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. No abnormal enhancing lesions are appreciated in the thoracic spine.
1.No spinal cord lesions are appreciated.2.There are mild degenerative changes present in the cervical spine.