Clinical question: Change in C6-C7 herniation? Signs and symptoms: LUE radiculopathy. No unenhanced cervical MRI:Foramen magnum is unremarkable.C2-C3 demonstrate asymmetric left-sided uncovertebral hypertrophy with resultant mild left neural foraminal compromise and unremarkable otherwise.C3-C4 demonstrate mild degenerative changes with mild asymmetric left-sided uncovertebral hypertrophy with resultant moderate to severe left neural foraminal compromise.C4-C5 demonstrate mild degenerative changes, mild asymmetric left-sided uncovertebral and facet hypertrophy and mild bilateral ligamentum flavum hypertrophy. There is no spinal stenosis however severe left and mild to moderate right neural foraminal compromise is detected.C5-C6 demonstrates moderate disease and loss of disc height, moderate right and mild left uncovertebral hypertrophy and mild symmetrical bilateral ligamentum flavum hypertrophy. No spinal stenosis. However significant bilateral neural foraminal compromise is present at this level.C6-C7 demonstrate mild disc disease and loss of disc height, mild bilateral facet and ligamentum flavum hypertrophy. There is a large broad-based central and rightward disc protrusion is again noted and without significant change since prior exam. Similar to prior study there is evidence of mass effect and posterior displacement of the cord (R>L) with resultant moderate central spinal stenosis and moderate bilateral neural foraminal compromise. There is subtle T2 STIR increased signal intensity of the cord centered at this level and highly suspected of myelopathy. Retrospectively this finding cannot be identified with certainty on prior study however note should be made that excessive motion artifact on prior exam could obscure subtle finding.C7-T1 demonstrate mild bilateral ligamentum flavum hypertrophy and unremarkable otherwise.Degenerative changes of cervical spine results in mild reversal of cervical lordosis which remains similar to prior exam.Images at T1-T2 and T2-T3 levels are unremarkable
1.Degenerative changes of cervical spine with resultant multilevel neural foraminal compromise as detailed per level above and without significant change since prior study. Please see detailed report.2.Degenerative changes at C6-C7 and including a broad-based disc protrusion resulting in mass effect and posterior displacement of the cord, central spinal stenosis and bilateral neural foramina without definitive interval change. Subtle T2 STIR hyperintense signal changes of the cord at this level cannot be identified with certainty on prior exam due to motion artifact on T2 STIR series. This finding is concerning for myelopathy secondary to findings at this level