Demographics:
57 years old, Female
Indication:
Progressive lower extremity weakness
Findings
- Abnormal T2/STIR signal hyperintensity in the ventral cord largely involving gray matter extending from C6-T2 without substantial cord expansion or volume loss
- Surgical changes of C5-C6 anterior cervical fusion with metallic artifact from the hardware limiting evaluation of these vertebral bodies
- Overall mild multilevel degenerative changes with a posterior disc-osteophyte complex contributing to mild spinal canal stenosis at C4-C5 and a left eccentric disc-osteophyte complex in combination with facet hypertrophy contributing to mild left neural foraminal stenosis at C6-C7
- No abnormal marrow signal
- Normal alignment
Diagnosis
Spinal cord infarct
Sample Report
Abnormal T2/STIR signal hyperintensity in the ventral spinal cord extending from C6-T2, which appearance is primarily concerning for a cord infarct. Consider obtaining diffusion sequences for confirmation.
Surgical changes of C5-C6 anterior cervical fusion with metallic artifact from the hardware limiting evaluation of these vertebral bodies.
Overall mild multilevel degenerative changes with a posterior disc-osteophyte complex contributing to mild spinal canal stenosis at C4-C5 and a left eccentric disc-osteophyte complex in combination with facet hypertrophy contributing to mild left neural foraminal stenosis at C6-C7.
Discussion
References