 There is loss of the cervical lordosis with mild cervical kyphosis. There is loss of height of the C4 vertebral body. The C45 intervertebral disc shows low signal intensity on T1 but high signal intensity on T2 and STIR images. In addition, the disc shows somewhat inhomogenous enhancement. However, the enhancement does not extend beyond the level of endplate. The STIR high signal intensity did not cross the endplate either. Above MR findings suggest possible discitis not extended beyond the inferior endplate of C4 and superior endplate of C5.At the level of C56, the intervertebral disc demonstrates high signal intensity on T1 as well on T2 weighted images and did not show MR evidence of enhancement. The constellation of findings suggest calcification of intervertebral disc.There is a focus of high signal in T1 and T2 which is suppressed in STIR in the anterior superior endplate of C3, consistent with hemangioma. Multilevel Schmorl's nodes are seen.C2-C3: Disc height is preserved. There is desiccation of the disc. No disc bulge. No spinal or neural foraminal compromise.C3-C4: No disc bulge. There is disc desiccation with preservation of disc height. No spinal bone marrow for minimal compromise.C4-C5: The intervertebral disc space is enhancing, most consistent with discitis. The corresponding endplates are not involved. There is a mild to moderate disc bulging with mild spinal stenosis. Mild narrowing of the neural foraminal canal bilaterally.C5-C6: Disc is decreased in height. T1 and T2 high signal is seen with no enhancement, representing calcification. No spinal stenosis or neural foraminal compromise.C6-C7: No evidence of bulge or spinal or spinal stenosis or neural foraminal compromise.C7-T1: No disc bulge or spinal stenosis. There is a minimal bilateral neural foraminal narrowing
1. Possible discitis at the level of the C4-C5 without involvement of the adjacent endplates. 2. There is mild to moderate disc bulge with mild spinal stenosis at C45 with mild narrowing of the neural foraminal canal bilaterally.3. Calcified disc with loss of height of the disc space C5-C6.