Neck pain, abnormal neck EMG. Evaluate for structural lesions and paraspinal enhancement/abnormalities. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. There is no abnormal enhancement within the spine. No abnormal edema or enhancement within the paraspinous musculature.The cervical spinal cord has normal signal characteristics and overall morphology.Minimal degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or left neural foramen. Mild right neural foraminal narrowing related to uncovertebral hypertrophy.C4-5: There is uncovertebral hypertrophy on the right with small foraminal disc protrusion associated with mild right-sided neural foraminal stenosis. No significant compromise to the spinal canal or left neural foramen.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. Left-sided thyroid nodules noted.
1. Mild degenerative changes with mild right C3-C4 and mild right C4-C5 neural foraminal stenosis. Cervical spine examination is otherwise unremarkable. No significant spinal canal stenosis at any level or cord signal abnormality. No abnormal enhancement in the spine or paraspinous soft tissues.2. Small left thyroid nodules.