36-year-old female with shooting pain down to shoulders There is straightening of the cervical spine, which may be positional, otherwise alignment is anatomic. Vertebral body heights and disc spaces are intact with tiny anterior osteophytes. No acute fracture is evident. The osseous neural foramina are patent. Borderline anterior translation of the right C3 facet relative to C4 is likely may be due to patient positioning, however MRI may be helpful to look for ligamentous injury. Possible extruded disc seen on the prior MRI would not be evident by conventional radiographs.
Minimal degenerative changes. Possible extruded disc seen on prior MRI would not be evident on conventional radiographs. For further evaluation, an MRI cervical spine may be considered.