Clinical question: Cervical stenosis. Evaluate for stenosis, abnormality. Signs and symptoms: Clumsiness in hands. Nonenhanced cervical MRI:There is degenerative changes of cervical spine with resultant mild reversal of cervical lordosis however without significant change since prior exam. Foramen magnum is unremarkable.C2-C3 demonstrate mild degenerative changes and unremarkable otherwise.C3-C4 demonstrate mild degenerative changes with resultant mild left neural foraminal compromise and unremarkable otherwise.C4-C5 demonstrate moderate disc disease and loss of disc height and broad-based Central and rightward disc protrusion results in flattening and posterior displacement of the cord (right greater than left) and moderate central spinal stenosis. No significant change is detected. Increased T2 signal intensity within the cord on the right is again also noted with suggestion of subtle interval progression. Significant bilateral (right greater than left) neural foraminal compromise is noted.C5-C6 demonstrate moderate disc disease and loss of disc height, disc osteophyte complex on the right paramedian results in flattening and posterior displacement of the cord on the right and mild to moderate central spinal stenosis. There is significant (left greater than right) neural foraminal optimize at this level. This finding demonstrate no definitive interval change since prior exam. Presence of cord signal abnormality at this level is questionable.C6-C7 demonstrate moderate disc disease and loss of disc height and mild bilateral ligamentum flavum hypertrophy. Mild central spinal stenosis, significant bilateral (left greater than right) neural foraminal compromise is present.C7-T1 demonstrate mild degenerative disc disease, a central disc protrusion with interval decreased size is noted. Mild central spinal stenosis persist and neural foramina remain patent.
1.Extensive degenerative changes of cervical spine with resultant mild reversal of cervical lordosis centered at C4-C5 without significant change.2.Degenerative changes at C4-C5 with resultant central spinal stenosis and bilateral neural foraminal compromise is noted. There is suggestion of subtle interval increase T2 signal intensity of the cord on the right since prior exam as detailed above.3.Multi additional levels of central spinal stenosis without significant change as detailed.4.Multilevel bilateral neural foraminal compromise (some significantly) as detailed per level.