Diagnosis: Paresthesia of skin Cervicalgia Other chronic painClinical question: persistent L arm and neck burning x months. Neurological exam wnl. Evaluate for DDD or demyelinating disease.Signs and Symptoms: persistent L arm and neck burning x months. Neurological exam wnl. Evaluate for DDD or demyelinating disease. The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disc desiccation present. There is mild reversal of the normal cervical curvature.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 at this levelAt C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge at this levelAt C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.A small heterogeneous lesion present within the left lobe of the thyroid measuring 7 mm which is bright on T2-weighted imaging.
1.There are mild degenerative changes present in the cervical spine without significant compromise to the spinal canal or exiting nerve roots.2.A small lesion in the left thyroid gland is present. Statistically these are most likely benign. If clinically appropriate additional imaging of the thyroid may be helpful in the appropriate clinical setting.