Right arm and leg pain/paresthesias. EMG shows cervical radiculopathy. Evaluate for disk disease. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate height. There is mild straightening of the cervical spine curvature; alignment is otherwise maintained. There is T1 hyperintense lesions with fat suppression involving C7, T1, and T2 vertebral bodies which may represent small hemangiomas or focal fat. There is mild diffuse low T1 signal throughout the bone marrow, which is nonspecific, but without discrete destructive osseous lesions.The cervical spinal cord has normal signal characteristics and overall morphology.Minimal degenerative changes changes are seen in the cervical spine including disk desiccation at C2-C3, C3-C4, and C4-C5. Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Minimal central disk protrusion. No significant compromise to the spinal canal or neural foramina.C4-5: Minimal central disk protrusion. No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Minimal degenerative changes without significant spinal canal or neural foraminal stenosis at any level in the cervical spine. If clinically indicated, may consider MRI of brachial plexus to evaluate the nerve roots more peripherally.