Clinical question: History of breast cancer, questionable C6-C7 lesion versus osteoarthritic changes. Signs and symptoms: Neck pain. Pre and postcontrast enhanced cervical MRI:Examination redemonstrates extensive degenerative changes of cervical spine with resultant multilevel central spinal stenosis worse at C6-C7 similar to prior exam. Increased T2 signal intensity within the cord at C6-C7 consistent with associated myelitis secondary to degenerative disease without change.Multilevel neural foraminal compromise without change since prior study.Extensive degenerative changes of posterior elements most notably at C6-C7 and C5-C6 levels on the left with diffuse patchy enhancement without change. Patchy enhancement within the vertebral bodies of C6 and C7 is also identical to prior exam and representing enhancement of degenerative changes.There is no evidence of an enhancing metastatic lesion of the vertebral column, cervical cord or the leptomeninges.
1.Extensive degenerative changes of cervical spine with resultant multilevel central spinal stenosis and associated myositis as detailed above and without change since prior exam.2.Expected patchy enhancement of severely degenerated articulating facets and degenerated vertebral endplates without change since prior exam.3.No convincing evidence of enhancing metastatic lesion of the vertebral column, cervical cord or the leptomeninges.