Female, 50 years old, with abnormal gait and falls. Assess for myelopathy. Spinal alignment is anatomic. Vertebral body height, morphology and signal characteristics are within normal limits. The visualized spinal cord shows normal caliber and is free of any definite signal abnormality. A small apparent focus of T2 hyperintensity overlying the cord at the T2 level, seen only on the sagittal T2 sequence, is favored to be artifactual as it is not duplicated on sagittal T1 or STIR imaging.C2-3: Right facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Right facet hypertrophy. Mild uncovertebral hypertrophy. No significant spinal canal or foraminal stenosis. C4-5: Mild uncovertebral hypertrophy. No significant spinal canal or foraminal stenosis. C5-6: Mild uncovertebral hypertrophy. No significant spinal canal or foraminal stenosis. C6-7: Mild posterior disc-osteophyte complex formation and uncovertebral hypertrophy. No significant spinal canal or foraminal stenosis. C7-T1: Facet hypertrophy. No significant spinal canal or foraminal stenosis.
1. No significant spinal canal or foraminal stenosis. No definite abnormalities of the spinal cord are seen.2. A small focus of signal abnormality overlying the cord at the T2 level is favored to be artifactual as it is seen on only one sequence. If clinical concern for a lesion at this level exists, further evaluation with dedicated thoracic imaging can be considered.