Clinical question: Rule out cord compression. Signs and symptoms: Tingling left arm, paresthesia, shoulder. Nonenhanced cervical spine MRI:There is normal signal intensity and alignment of the vertebral column.There is normal signal intensity and caliber of cervical and upper most visualized thoracic cord.There is no evidence of central spinal stenosis or mass effect on the cord at any level.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 is unremarkable.C4-C5 demonstrate mild compromise of the left neural foramina and unremarkable otherwise.C5-C6 demonstrate mild degenerative disc and minimal ligamentum flavum hypertrophy. No spinal stenosis or neural foraminal compromise. There is a shallow central disc protrusion resulting in subtle flattening of ventral aspect of the cord without spinal stenosis or cord signal abnormality.C7-T1 demonstrate minimal degenerative changes are unremarkable otherwise.Upper most visualized thoracic spine and cord is unremarkable.
1.Normal signal intensity and caliber of the cervical and upper most visualized thoracic cord and without evidence of mass effect.2.Small central shallow disc protrusion at C6/C7 without spinal stenosis.3.No spinal stenosis at any level. 4.Mild left neural foraminal compromise at C4-C5 secondary to degenerative disease and patent all other neural foraminal.