73 years Female (DOB: 4/17/1943)Reason: r/o stenosis History: neck painPROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disc desiccation present.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal. There are endplate uncovertebral osteophytes present this level associated with disc desiccation and loss of disc space height. There is encroachment of the right-sided exiting nerve roots related to osteophytes and disc material. There is mild ligamentum flavum hypertrophy at this level.At C6-7 there is no significant compromise to the spinal canal. There is right-sided facet hypertrophy present at this level as well as endplate and uncovertebral osteophytes with some narrowing of the right neural foramen.. There is ligamentum flavum hypertrophy at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Along the right anterior chest wall there appears to be a large T1 signal hyperintense mass which suppresses on the fat suppressed images. This is not entirely included on this exam. It displaces adjacent structures including the thyroid gland being displaced towards the left and displaces the right sternocleidomastoid muscle anteriorly. The subclavian artery and subclavian vein are deep to the lesion.
1.There are degenerative changes present in the cervical spine with encroachment of right-sided exiting nerve roots at C5-6.2.Fatty lesion possibly a lipoma is present along the right anterior chest wall and lower right neck which is located underneath the sternocleidomastoid muscle is not adequately included on this exam. It appears to displace adjacent structures. Please correlate with physical findings on clinical exam.