Female, 42 years old, with paresthesias. Evaluate for demyelinating lesions. No definite pathologic spinal cord signal abnormality is seen. No evidence of any epidural abnormality is seen.Straightening of the normal cervical lordosis is likely positional. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow replacement or marrow edema is seen.C2-3: Unremarkable. C3-4: Facet hypertrophy. No significant spinal canal stenosis. Mild right foraminal narrowing. C4-5: Mild facet hypertrophy. Left uncovertebral hypertrophy. Small central disc protrusion which slightly contacts the ventral cord. Minimal left foraminal narrowing.C5-6: Disc osteophyte formation with a left paracentral disc protrusion which contacts and mildly deforms the ventral spinal cord. Moderate left and mild right foraminal narrowing. C6-7: Left facet hypertrophy. No significant spinal canal stenosis. Minimal left foraminal narrowing. C7-T1: Unremarkable.
1.No evidence of any discrete spinal cord lesion is seen to suggest the presence of demyelinating disease.2.However, a disc protrusion at C5-6 does contact and mildly deform the ventral spinal cord, though no significant generalized spinal canal or foraminal stenosis is seen.