Diagnosis: Spinal stenosis, cervical regionClinical question: cervical stenosisSigns and Symptoms: cervical stenosis 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.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.At 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 present at this level.At C6-7 there is loss of disc space height, disc desiccation and a diffuse disc bulge associated with endplate and uncovertebral osteophytes, effacement of the spinal fluid ventral and posterior the spinal cord and encroachment of the neural foramina bilaterally with encroachment of the exiting nerve roots bilaterally. The encroachment of the exiting nerve roots is worse on the right side compared to the left. There is mild posterior ligamentum flavum hypertrophy present at this level. There are endplate reactive changes at this level which are high signal on T2 and lower signal on T1 and are worse on the right than the left side.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are degenerative changes present in the cervical spine which are worse at C6-7 where there is a mild to moderate degree of spinal stenosis and moderate encroachment of the right-sided exiting nerve roots within the right neural foramen and mild to moderate encroachment of the left-sided exiting nerve roots within the left neural foramen. There are acute endplate reactive changes at this level which are worse on the right than the left side.