Clinical question: Spinal cord? Signs and symptoms: Neck pain. Nonenhanced cervical spine MRI:Foramen magnum is unremarkable.C2 -- C3 demonstrate minimal degenerative changes and unremarkable otherwise.C3 -- C4 demonstrate mild degenerative changes and unremarkable otherwise.C4 -- C5 demonstrate mild degenerative changes and unremarkable otherwiseC5 -- C6 demonstrate mild disk disease and loss of disk height and mild bilateral facet degenerative changes. There is resultant mild to moderate left neural foraminal compromise and no central spinal stenosis.C6 -- C7 demonstrate moderate disk disease and loss of disk height and minimal facet disease. There is a broad-based disk -- osteophyte complex on the left with resultant effacement of the left subarachnoid space without detectable mass effect on the cord. There is mild central spinal stenosis and significant left neural foraminal compromise.C7 -- T1 demonstrate mild degenerative changes and unremarkable otherwise.Normal signal intensity of the cervical and upper most visualized thoracic cord.
1.C6 -- C7 demonstrate degenerative changes, broad-based disk osteophyte complex on the left with resultant mild central spinal stenosis and significant left neural foraminal compromise.2.Degenerative changes at C5 -- C6 with resultant mild to moderate left neural foraminal compromise.3.Mild degenerative changes at other levels without spinal stenosis or neural foraminal compromise.