Clinical question: Evaluate for acute abnormality. Signs and symptoms: Worsening chronic neck pain with soft tissue inflammation at the base of neck. Nonenhanced cervical MRI:Examination demonstrates no evidence of fracture or malalignment.Normal signal intensity and caliber of cervical cord.Unremarkable foramen magnum.C2-C3 is unremarkable.C3-C4 is unremarkable.C4-C5 is unremarkable.C5-C6 demonstrate mild degenerative changes, tiny right median disc protrusion (axial T2 series 701 image 10) results in subtle flattening deformity of the ventral aspect of the cord. No detectable signal abnormality of the cord. No convincing evidence of spinal stenosis or neural foraminal compromise.C6-C7 demonstrate advanced disc disease and significant loss of disc height, moderate (left greater than right) neural foraminal compromise and no central spinal stenosis.C7-T1 demonstrate mild degenerative changes without spinal stenosis or neural foraminal compromise.Nonenhanced thoracic MRI:Examination demonstrates no detectable fracture or malalignment.The signal intensity of vertebral column is unremarkable.The signal intensity and caliber of thoracic cord is unremarkable.Examination at T7-T8 demonstrate a right lateral small disc protrusion resulting in subtle flattening deformity of right lateral aspect of the cord without detectable cord signal abnormality, spinal stenosis or neural foraminal compromise.At T8-T9 there is also evidence of a right lateral disc protrusion without mass effect on the cord, spinal stenosis or neural foraminal compromise and with normal signal intensity of the cord.Unremarkable images at other levels and without intravenous or spinal stenosis or neural foraminal compromise. No detectable perispinal soft tissue abnormalities.
1.Nonenhanced MRI of cervical spine demonstrate advanced degenerative disc disease at C6/C7, tiny right perineum disc protrusion at C5-C6, no spinal stenosis or neural foraminal compromise at any level and no detectable paraspinal soft tissue abnormalities. There is normal signal intensity and caliber of cervical cord.2.Nonenhanced MRI of the thoracic spine demonstrate normal signal intensity of the vertebral column, cord and the perispinal soft tissues. No spinal stenosis or neural foraminal compromise at any level. Small right lateral disc protrusions at T7-T8 and T8-T9 levels as detailed.