Clinical question: Hyperreflexia, neck pain, left-sided weakness. Signs and symptoms: As above. Nonenhanced cervical spine MRI:There is normal anatomical alignment of the vertebral column.Foramen magnum is unremarkable. Incidental note is made of foci of T2 hyperintensity within the pons distended. Previously known chronic lacunar infarcts.C2-C3 is unremarkable.C3-C4 demonstrate mild degenerative disease with resultant mild left neural foraminal compromise.C4-C5 demonstrate mild disc disease and mild to moderate bilateral facet and ligamentum flavum hypertrophy. There is a central shallow disc protrusion which is in contact and deforms the ventral aspect of the cord. There is resultant mild central spinal stenosis without detectable cord signal abnormality. Mild left neural foraminal compromise.C5-C6 demonstrate mild disc disease and loss of disc height, mild bilateral facet and ligamentum flavum hypertrophy. No central spinal stenosis and mild left neural foraminal compromise.C6/C7 demonstrate mild disc disease and moderate asymmetric left-sided facet hypertrophic changes there is a shallow left sided disc-osteophyte complex with partial effacement of ventral subarachnoid space without spinal stenosis. Mild left neural foraminal compromise is noted.Normal signal intensity of the cervical and upper most visualized thoracic cord.
1.Degenerative disease and a small central disc protrusion at C4-C5 with resultant mild central spinal stenosis as detailed.2.Mild degenerative changes at other levels and including a tiny left paramedian disc-osteophyte complex at C6-C7 with resultant mild left neural foraminal compromise.3.No evidence of spinal stenosis at any other level. Please review above detailed report on neural foraminal compromise.