 MRI cervical spine: Vertebral body heights in the cervical spine are normal. There is straightening of the upper and mid cervical spine. Alignment is otherwise maintained. Bone marrow signal is benign. The cord demonstrates no abnormal signal. There is increased T2 signal in the pons, corresponding to the finding that were demonstrated in the previous brain MRI dated 12/15/2015. There is minimal thickening of the posterior longitudinal ligament at the C3 and C4 levels. Multilevel degenerative changes are seen with significant height loss at the C4-C5 level. Individual levels as below: C2-C3: No spinal canal or neural foraminal compromise.C3-C4: Minimal disc bulge with no spinal canal or neural foraminal compromise. C4-C5: There is loss of disc height with disc osteophyte complex and uncovertebral hypertrophy at this level. There is no significant spinal canal stenosis. There is moderate right neural foraminal stenosis and mild left neural foraminal narrowing.C5-C6: There is minimal right neural foraminal narrowing related to facet arthropathy. No significant spinal canal or left neural foraminal stenosis.C6-C7: There are is no spinal canal or neural foraminal compromise.C7-T1: There is no spinal canal or neural foraminal compromise.MRA brain: There is no significant stenosis involving the anterior or posterior circulation. There is mild narrowing of the mid basilar artery without flow-limiting stenosis. Focal signal loss is also seen involving the M2 segments of the middle cerebral arteries which is favored to be artifactual. Intracranial internal carotid, anterior, middle, and posterior cerebral arteries are patent. Distal vertebral, basilar, and posterior cerebral arteries are also patent. Right posterior communicating artery and anterior communicating artery are patent. Left posterior communicating artery is not definitively visualized. No aneurysms are appreciated.MRA neck: The common carotid arteries, the cervical internal carotid arteries, and the vertebral arteries are patent with no evidence of flow-limiting stenosis. No findings to suggest arterial dissection.
1. Mild degenerative changes in the cervical spine. There is no significant spinal canal stenosis at any level or cord signal abnormality. There is moderate right neural foraminal stenosis at the C4-C5 level. Otherwise no significant spinal canal or neural foraminal stenosis.2. There is no flow-limiting stenosis in the intracranial anterior or posterior circulation.3. No flow-limiting stenosis or evidence of arterial dissection in the neck.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.