Reason: evaluate for cervical stenosis, patient with neck pain and abnormal reflexes History: neck pain The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At 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. There is a mild disk desiccation present at this level associated with small uncovertebral osteophytes and loss of disk space height. There are some endplate reactive change is present at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a mild disk desiccation present at this level associated with small uncovertebral osteophytes and loss of disk space height. There is mild narrowing of neural foramina at this level. There is a 5x6mm perineural cystic appearing lesion in the distal aspect of the right neural foramen at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a mild disk desiccation present at this level associated with small uncovertebral osteophytes and loss of disk space height. There are some endplate reactive change is present at this level.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 are multilevel degenerative changes present in the cervical spine without significant compromise of spinal canal or exiting nerve roots. A small perineural cyst in the right C5-6 neural foramen is of unknown significance