Clinical question: 48-year-old female with C6 numbness, evaluate cervical spine or for changes/abnormalities. Signs and symptoms: Numbness. No unenhanced cervical MRI,The alignment of vertebral column is anatomic, however there is mild reversal of cervical lordosis if to be secondary to degenerative disease.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 demonstrate mild disc desiccation with decreased T2 signal intensity and height, shallow broad-based bulge of the disc and no significant facet or ligamentum flavum hypertrophy. There is moderate bilateral (L>R) neural foraminal compromise and no central spinal stenosis.C4-C5 demonstrate mild disc disease and loss of disc height, asymmetric left-sided uncovertebral hypertrophy and no significant facet or ligamentum flavum hypertrophy. There is moderate left and mild right neural foraminal compromise. There is also mild central spinal stenosis.C5-C6 demonstrate moderate disc disease and loss of disc height, asymmetric (L>R) uncovertebral hypertrophy and no significant facet or ligamentum flavum degenerative changes. Findings results in significant right neural foraminal compromise and mild central spinal stenosis. C7-T1 demonstrate minimal degenerative changes without spinal canal or neural foraminal compromise.There is no convincing evidence of cord signal abnormality at any level.Spinal soft tissues remain unremarkable.
1.Degenerative changes at C5-C6 results in significant right neural foraminal compromise and mild central spinal stenosis.2.Degenerative changes at C4-C5 results in moderate left and mild right neural foraminal compromise and mild central spinal stenosis.3.Degenerative changes at C3-C4 results in moderate bilateral (left greater than right) neural foraminal compromise.4.The signal intensity of the cord remains within normal.