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7/30/07
cervical mri with and without contrast
findings
within the substanceDrug abuse of the cervical spinal cord, there is a question of a solitary area of hyperintense signal seen on the stir sequence. This is seen on series 4 image 7 and corresponds to the right lateral aspect of the cervical spinal cord at the c-2 level. it is not confirmed on the sagittal t-2 weighted sequence or on the axial t-2 gradient echo sequence. While possibly aftifactual, it could represent a very small subtle area of demylination in the cervical spinal cord. No abnormal enhancement. Otherwise the cervical spinal cord shows normalNormal saline flush signal. The morphology of the cervical spinal cord is normalNormal saline flush. No expansion of the spinal cord. No atrophy of the spianl cord.
impression
question of a solitary area of abnormal signal within the substance of the cervical spinal cord at the c-2 level along the right lateral aspect. While possibly artifactual, this could represent a small solitary area of demylination.
cervical spinal cord shows no other questionable areas of abnormal signal and no abnormal enhancement.
multilevel cervical spondylosis from c-3 c-4 through c-6 c-7 as detailed above.