FINDINGS: There is an ovoid focus of abnormal elevated T2 signal within the
anterior aspect of the spinal cord at the C6 level. This measures about 10 mm
cephalocaudal by 4 mm in diameter. This could be due to inflammatory change,
neoplasm or demyelinating disease. Correlation and postcontrast imaging
recommended.
No compromise of the craniocervical junction. At C2-C3 and C3-C4 there is no
disc herniation or spinal stenosis.
At C4-C5 there is minor endplate degenerative changes without disc herniation
or spinal stenosis.
At C5-C6 there is mild degenerative disc and endplate change of the small
right paracentral disc protrusion. Mild impression on thecal sac without cord
or root compression evident. Mild central stenosis to right of midline. No
foraminal stenosis.
At C6-C7 there is mild disc space narrowing with degenerative disc and
endplate change. Mild endplate spur with small right paracentral and lateral
spur disc complex causing mild right foraminal stenosis. Mild central
stenosis to right of midline without left foraminal stenosis.
At C7-T1 there is no disc herniation or spinal stenosis.