Clinical question: Chest pain, cervical radiculopathy. Signs and symptoms: As above. Nonenhanced cervical MRI:There is normal anatomical alignment of vertebral column.There is however mild straightening normal cervical lordosis.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 is unremarkable.C4-C5 is unremarkable.C5-C6 demonstrate mild disc disease and minimal facet/ligamentum flavum hypertrophy. There is a shallow broad-based disc protrusion along the entire ventral epidural space (left greater than right). Findings is also seen effacement of ventral subarachnoid space, mild flattening deformity and posterior displacement of the cord and resultant moderate central spinal stenosis. There is no detectable associated cord signal abnormality with this finding. This finding results in mass effect on the exiting nerve roots at this level which is more conspicuous on the left.C6/C7 is unremarkable.C7-T1 is unremarkable.Unremarkable upper most visualized thoracic spine and thoracic cord to T4 level.
1.Shallow broad-based disc protrusion at C5/C6(L>R) on good with resultant moderate central spinal stenosis and mass effect on bilateral exiting nerve roots (L>R).2.Unremarkable MRI of cervical spine otherwise.