Clinical question: Neck pain. Signs and symptoms: Neck pain. Nonenhanced cervical MRI:The alignment of vertebral is anatomical.The signal intensity which column is unremarkable other than subtle changes in the degenerative disease.The signal intensity and caliber of the cervical and upper most visualized thoracic cord is within normal.Foramen magnum is unremarkable.C2 -- C3 is unremarkable.C3 -- C4 is unremarkable.C4 -- C5 demonstrate mild disk desiccation and minimal uncovertebral hypertrophic changes. Findings results in mild bilateral neural foraminal compromise and no central spinal stenosis.C5 -- C6 demonstrate mild disk desiccation and loss of disk height, mild bilateral uncovertebral hypertrophic changes. Small left lateral shallow disk protrusion is present with resultant very subtle flattening deformity of the cord without detectable signal abnormality. There is moderate (right greater than left) neural foraminal compromise and no central spinal stenosis.C6 -- C7 demonstrate mild disk desiccation and mild facet and ligamentum flavum hypertrophy. No spinal stenosis however mild right neural foramina compromise is suspected.C7 -- T1 demonstrate minimal degenerative changes without spinal stenosis or neural foraminal compromise.
1.C5 -- C6 demonstrate mild degenerative changes and a left lateral shallow disk protrusion with resultant sulcal flattening deformity of the cord however without central spinal stenosis. Moderate (right greater than left) neural foraminal compromise at this level is also present.2.Mild degenerative changes at other levels however without central spinal stenosis as detailed.3.Normal signal intensity of cervical and upper most visualized thoracic cord