Clinical question: Assess for cervical stenosis. Signs and symptoms: Neck pain hyperreflexia in upper extremities. Nonenhanced cervical MRI:Foramen magnum is unremarkable.C2 -- C3 is unremarkable.C3 -- C4 demonstrate minimal asymmetric right facet and ligamentum flavum hypertrophy with resultant mild right neural foraminal compromise.C4 -- C5 demonstrate minimal degenerative changes and unremarkable otherwise.C5 -- C6 demonstrates a shallow broad based central and leftward disk -- osteophyte complex which results in very subtle flattening deformity of the cord without detectable signal abnormality of the cord. There is mild central spinal stenosis and mild left neural foraminal compromise.C6 -- C7 demonstrate asymmetric left-sided uncovertebral hypertrophic changes with resultant moderate left neural foraminal compromise. Mild central spinal stenosis is also suspected. This finding is best appreciated on axial T2 series 701 images 8 and 9.C7 -- T1 is unremarkable.On sagittal T2 stir series 501 on images 8 through 11 there is evidence of subtle T2 hyperintensity of the intraspinous and supraspinous ligaments. This finding is also present on axial T2 Star series 602 on images 22 through 34. The findings could represent edematous changes of the ligaments possibly as result of an injury. Correlation with patient's clinical history and direct physical examination/palpation of the region of the left follow-up with additional imaging is recommended. Findings and concerns on this exam were discussed by phone with the referring clinical physician Dr. Kourosh Rezania #5744 at the time of review of exam.The signal intensity of the cervical and uppermost visualized thoracic cord remains within normal.
1.Nonenhanced MRI of the cervical spine demonstrate a left sided disk/osteophyte complex with resultant subtle flattening deformity of the cord and mild central spinal stenosis and mild left neural foraminal compromise. At C6 -- C7 there is a left-sided uncovertebral hypertrophic changes result in moderate left neural foraminal compromise and mild central spinal stenosis. Increased T2 stir signal intensity of the intraspinous and supraspinous ligaments at C6 -- C7 level which could represent edematous/inflammatory changes. Correlation with history and follow up is recommended. The findings and concerns on this exam were discussed with referring clinical physician Dr. Kourosh Rezania #5744 at the time of review of exam.