Clinical question: Patient with dysphagia and a positive is esophagogram. Nonenhanced cervical MRI:There is generalized uniform smaller caliber of the spinal canal which is believed to represent a congenital anatomical variation.There is normal anatomic alignment the vertebral, however with near complete straightening of the cervical lordosis.The signal intensity of vertebral column is unremarkable other than changes related to degenerative disease. Foramen magnum is unremarkable.C2 -- C3 is unremarkable. C3 -- C4 demonstrate mild degenerative disease and mild bilateral neural foraminal and central spinal stenosis. C4 -- C5 demonstrate mild degenerative disease with mild left uncovertebral hypertrophic changes resulting in mild to moderate left neural foraminal compromise and no central spinal stenosis. C5 -- C6 demonstrate mild asymmetric right-sided uncovertebral hypertrophy resulting in mild to moderate right neural foraminal compromise and unremarkable lines.C6 -- C7 is unremarkable.C7 -- T1 is unremarkable.There is normal signal intensity and caliber of the cervical and uppermost visualized thoracic cord.Uppermost visualized thoracic spine and thoracic cord is unremarkable. There is no detectable abnormality in the visualized prevertebral soft tissues.
1.Generalized uniform smaller caliber of the cervical spinal canal represent a congenital anatomical variation.2.Mild degenerative changes of cervical spine with resultant mild central spinal stenosis at C3 -- C4 and questionably at C4 -- C5.3.Multi-level neural foraminal compromise as detailed per level above.4.No detectable abnormality in the limited view of prevertebral soft tissues.