Clinical question: Cervical spine disease. Signs and symptoms: Left facial numbness. Pre and post enhanced cervical MRI:There is normal anatomical alignment of the vertebral column however with mild straightening of lordosis without change since prior exam.There is normal signal intensity and caliber of the cervical cord and upper most visualized thoracic cord.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 demonstrate mild degenerative changes and unremarkable otherwise.C4-C5 demonstrate mild degenerative changes with resultant moderate left neural foraminal compromise with subtle interlobar progression and no central spinal stenosis.C5-C6 demonstrate mild to moderate disc disease and loss of disc height, asymmetric left-sided uncovertebral hypertrophy, mild facet and ligamentum flavum hypertrophy. There is no spinal stenosis or neural foraminal compromise and no significant change since prior exam. There is tortuosity of the left dominant vertebral artery which abuts the left neural foraminal at this level similar to prior exam.C6-C7 demonstrate mild degenerative changes without spinal stenosis or neural foraminal compromise. No change since prior exam.C7-T1 is unremarkable.Post enhanced images demonstrate no detectable abnormal enhancement of the vertebral column, cervical and upper visualized thoracic cord or the leptomeninges.
1.Mild degenerative changes of cervical spine with minimal progression since prior exam as detailed.2.No evidence of central spinal stenosis and single level neural foraminal compromise on the left at C5-C6 as detailed.3.Normal signal intensity and caliber of cervical and upper most visualized thoracic cord without abnormal enhancement.