Reason: eval for pathology, compressive process. Hx of left sided pain, hypersensitivity. History: above The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is multilevel disk desiccation present.There is marrow replacement within the C3 vertebral body without expansion and without contrast enhancement. A recent CT scan indicates that there is some sclerosis associated with thisAt 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 or neural foramina. There is loss of disk space height, endplate reactive changes, uncovertebral osteophytes and a disk bulge at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There is signal change in sclerotic change within the C3 vertebral body. The possibility this is unrelated to underlying pathology such as a metastatic neoplasm cannot be excluded. An atypical hemangioma it is an alternative explanation. Please correlate with clinical history.2.There are some mild degenerative changes present in the cervical spine without significant compromise to the spinal canal or neural foramina .3.Findings were discussed with Dr Mok.