Diagnosis: Dorsalgia, unspecified Other chronic painClinical question: abscess, osteoSigns and Symptoms: pain, imaging suggestive of osteo The cervical vertebral bodies are appropriate in overall alignment and height. There is thickening of the posterior longitudinal ligament present. There is cord signal hyperintensity centrally at the C5 and C6 vertebral body levels. There is straightening of the normal cervical curvature present.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge present at this level. There is mild narrowing of the left neural foramen.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge present at this level associated with mild ligamentum flavum hypertrophy. There is cord signal hyperintensity present this level.At C5-6 there is a broad-based central disc protrusion present associated with the effacement of spinal fluid ventral to the spinal cord. There is cord signal hyperintensity and loss of volume at this level. Comparison to an MRI from 8/30/2015 suggests that these findings are long-standing.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a broad-based central disc protrusion present at this level. Some disc material extends into the right neural foramen and mildly encroaches on the right-sided exiting nerve root. At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.There are T2 hyperintense lesions present in the pons. Incidental note is made of empty sella.
1.There is a mild to moderate degree of spinal stenosis present at C5-6 related to disc protrusion and uncovertebral and endplate osteophytes. Associated cord signal change and atrophy suggest this could be related to spondylitic myelopathy. Straightening of the normal cervical curvature could give the impression that the stenosis is not is severe as it would be in the extended position. Comparison to an MRI from 8/30/2015 suggests that these findings are long-standing.