MRI CERVICAL SPINE WITH AND WITHOUT CONTRAST:
CLINICAL HISTORY: 58-year-old woman with leg weakness.
FINDINGS:
Alignment: Normal.
Bone marrow: Normal for age.
Vertebrae: Multi-level degenerative changes as follows:
C2-C3: Tiny focal central disc bulge. No central spinal canal or
neuroforaminal narrowing.
C3-C4: Small focal central disc bulge mildly effacing the ventral CSF
and deforming the spinal cord. No neural foraminal narrowing.
C4-C5: Symmetrical disc bulge with mild central spinal canal but no
neural foraminal narrowing.
C5-C6: Symmetrical disc bulge with mild central spinal canal and
bilateral neural foraminal narrowing.
C6-C7: Symmetrical and right paracentral disc bulge with mild central
spinal canal and moderate right neural foraminal narrowing.
C7-T1: Normal.
Extra-vertebral soft tissues: Normal with stable likely venous
structure and dilated paraspinal vein along the right aspect of the
T10 vertebra.
Visualized brain: Normal.
IMPRESSION:
1. T2 signal abnormality and enhancement in the thoracic cord. Findings compatible with demyelination and/or inflammation.
2. Mild multilevel cervical spine degenerative disc disease as
detailed above.