Reason: eval for cervical stenosis History: hyper-reflexia Craniocervical junction is within normal limits. Vertebral body heights and alignment are maintained. Bone marrow signal is benign. Spinal cord has a smooth contour and is without focal atrophy, edema, myelomalacia. No intraspinal hematoma, mass, or mass effect. The visualized paraspinal contents are unremarkable. Minimal degenerative changes as below:C1/2: No significant spinal canal stenosis or foraminal narrowing.C2/3: No significant spinal canal stenosis or foraminal narrowing.C3/4: No significant spinal canal stenosis or foraminal narrowing. C4/5: Mild left foraminal narrowing related to facet arthropathy. No significant spinal canal or right neural foraminal stenosis. C5/6: No significant spinal canal stenosis or foraminal narrowing. C6/7: No significant spinal canal stenosis or foraminal narrowing. C7/T1: No significant spinal canal stenosis or foraminal narrowing. Small scattered perineural cysts are incidentally noted.
1. No spinal canal stenosis at any level or evidence of cord signal abnormality.2. Minimal degenerative changes with mild left C4-5 neural foraminal narrowing. Neural foramina are otherwise patent.