Clinical question: Evaluate for stenosis. Signs and symptoms: Right arm pain. No unenhanced cervical MRI:The signal intensity of the vertebral column is unremarkable.The alignment the vertebral column is anatomical however mild reversal of cervical lordosis is noted. This may be positional.Foramen magnum is unremarkable.C2 -- C3 is unremarkable.C3 -- C4 is unremarkable.C4 -- C5 is unremarkable.C5 -- C6 is unremarkable.C6 -- C7 demonstrate minimal left facet hypertrophy however without spinal stenosis or neural foraminal compromise.C7 -- T1 is unremarkable.Uppermost visualized thoracic spine and thoracic cord through T4 are unremarkable.There is normal signal intensity and caliber of cervical and uppermost visualized thoracic cord.
1.No evidence of neuroforaminal or spinal stenosis at any level.2.Minor degenerative changes and unremarkable exam otherwise.