Your cord has some what appears to be some mild compression “The spinal cord has a normal signal. Specifically, there is no intramedullary mass, syrinx or demyelinating lesion…C5-C6: There is left paracentral disc herniation indenting upon the ventral thecal sac and flattening the left hemicord. There is mild spinal canal stenosis”.
This does not appear to be problematic, especially since you have no myelopathic symptoms (“balance reflexes and strength it’s reported as good”).
“The most common clinical manifestations of B. miyamotoi infection are fever, fatigue, headache, chills, myalgia, arthralgia, and nausea”. This type of Lyme disease sounds more like your problem.
Dr. Corenman