Severe neck pain. Examination is motion degraded as patient had difficulty tolerating the study. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild levocurvature of the cervical spine which may be positional. Alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.There is no significant disc disease, spinal canal, or neural foraminal stenosis at any level.There is a predominantly retropharyngeal and mild right prevertebral effusion. Amorphous calcifications inferior to the anterior arch of C1 are better seen on CT.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Retropharyngeal effusion with amorphous calcifications inferior to the anterior to the arch of C1, which are better seen on recent CTA. Findings are most consistent with acute calcific tendinitis of the longus colli muscle.2. No significant spinal canal or neural foraminal stenosis at any level.