Clinical question: r/o disc disease. Signs and Symptoms: pain. Nonenhanced cervical MRI:Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 demonstrate mild asymmetric right-sided uncovertebral hypertrophic changes with resultant moderate to severe right neural foraminal compromise.C4-C5 demonstrate mild degenerative changes without spinal stenosis or neural foraminalC5-C6 demonstrate mild disc disease and loss of disc height, shallow bulging disc, small bilateral uncovertebral hypertrophic spurs and mild facet and ligamentum flavum hypertrophy. Constellation of changes results in mild central spinal stenosis, moderate right and mild-to-moderate left neural foraminal compromise.C6-C7 demonstrate mild degenerative disc disease and mild ligamentum flavum hypertrophy without spinal stenosis or neural foraminal compromiseC7-T1 demonstrate mild degenerative disease without spinal stenosis or neural foraminal compromise.There is a tiny linear T2/T2 STIR hyperintensity is noted along the posterior right lateral aspect of the cord extending from mid C6 level to approximately upper C7 level best appreciated on sagittal T2 series 301 image 8 and axial T2 series 601 images 9 and 10. Finding is nonspecific however is suspected of a small focus of myelopathy.
1.Degenerative changes cervical spine with resultant mild central spinal stenosis only at C5-C6 level.2.Multi level neural foraminal compromise at detailed per level above.3.Tiny focus of T2 hyperintensity of the cervical cord at 6 level which is nonspecific however could represent small focus of myelopathy.