Clinical question: Neck and arm pain. Pain across mid back. Signs and symptoms: Neck and arm pain. Pain across mid back. Non-enhanced cervical MRI:There is normal anatomical alignment the vertebral column.There is unremarkable signal intensity of vertebral column.Foramen magnum is unremarkable. C2 -- C3 is unremarkable.C3 -- C4 demonstrate mild degenerative changes without spinal stenosis or neural foraminal compromise.C4 -- C5 demonstrate mild degenerative disk disease and mild asymmetric left facet hypertrophic changes and mild bilateral ligamentum flavum hypertrophy. There is a tiny annular fissure in the midline and to the left best appreciated on sagittal T2 stir. Mild central spinal stenosis and mild left neural foraminal compromise.C5 -- C6 demonstrate prior corpectomy and anterior fusion without evidence of spinal stenosis or neural foraminal compromise.C6 -- C7 demonstrate mild degenerative disk disease, uncovertebral hypertrophy on the left a mild left facet hypertrophy changes are noted. There is mild to moderate left neural foraminal compromise and mild central spinal stenosis.C7 -- T1 demonstrate minimal disk disease, moderate right-sided asymmetric uncovertebral hypertrophic changes resulting in significant right neural foraminal compromise. No spinal stenosis and patent left neural foramina.The signal intensity of the cord remains ".Fluid signal intensity along the left aspect of C6 spinous process is believed to represent post operative change. No prior exams for comparison. The fluid collection measures approximately 6 mm in transverse axis and 23-mm in AP axis.Nonenhanced thoracic MRI:There is normal anatomical alignment of the column. The signal intensity of vertebral column is unremarkable.There is normal signal intensity and caliber of thoracic cord.There is no significant degenerative disease, no evidence of spinal stenosis or neural foraminal compromise at any level.
1.Postoperative changes of anterior corpectomy and fusion at C5 -- C6 without evidence of spinal stenosis or neural foraminal compromise.2.Degenerative changes at C4 -- C5 and including a tiny annular fissure is noted. Mild central spinal stenosis and left neural foraminal compromise.3.Degenerative changes at C6 -- C7 and asymmetrical left uncovertebral hypertrophy results in left neural foraminal compromise and mild central spinal stenosis.4.Loculated fluid collection along the left side of C6 spinous process as detailed.5.Asymmetric right sided moderate uncovertebral hypertrophy results in significant right neural foraminal compromise at C7 -- T1 level.6.Unremarkable nonenhanced thoracic spine MRI.