Clinical question: Neck and back pain. Signs and symptoms: Neck and back pain. Nonenhanced cervical spine MRI:There is normal anatomical alignment of vertebral column however the mild straightening of the cervical lordosis which could be positional.There is normal signal intensity and caliber of cervical and upper most visualized thoracic cord.There is no significant degenerative changes of cervical spine.There is no evidence of spinal stenosis or neural foraminal compromise at any level.Nonenhanced thoracic MRI:There is normal anatomical alignment of the vertebral column and with normal signal intensity on all MRI sequences.No significant degenerative changes of thoracic spine is detected.No evidence of spinal canal compromise or stenosis at any level.Mild facet and ligamentum flavum hypertrophic changes results in mild neural foraminal compromise bilaterally at T8-T9 and left neural foraminal at T7-T8 levels. There is normal signal intensity and caliber of thoracic cord.Unremarkable paraspinal soft tissues.Nonenhanced lumbosacral spine:The alignment of the vertebral column is anatomical.The signal intensity of the vertebral column is unremarkable.T12-L1 is unremarkable.L1-L2 is unremarkable.L2-L3 is unremarkable.L3-L4 demonstrate mild disc desiccation and a tiny central shallow disc protrusion (axial T2 series 25 image 25) resulting in slight indentation of thecal sac without spinal stenosis or neural foraminal compromise.L4-L5 demonstrate mild disc desiccation, mild bilateral facet and ligamentum flavum hypertrophy, mild bilateral facet effusion, midline shallow disc protrusion (axial T2 series 25 image 31) resulting in mild flattening deformity of the thecal sac however without spinal stenosis or neural foraminal compromise.L5-S1 demonstrate mild disc desiccation and mild facet and ligamentum flavum hypertrophy without spinal stenosis or neural foraminal compromise. No paraspinal soft tissue abnormalities. There is mild bilateral facet effusion.
1.Nonenhanced cervical MRI is unremarkable.2.Nonenhanced MRI of thoracic spine demonstrate mild bilateral neural foraminal compromise at T8-T9 and left neural foraminal T7-T8 levels and unremarkable exam otherwise.3.Nonenhanced MRI of the lumbar spine demonstrate small central disc protrusions at L3-L4 and L4-L5 levels with mild indentation of the thecal sac however without spinal stenosis or neural foraminal compromise. Mild bilateral facet effusion at L4-L5 and L5-S1 and unremarkable exam otherwise.