Reason: pannus History: inflammation c spine The cervical vertebral bodies are appropriate in overall height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disk desiccation presentThere is mild thickening of the cruciate ligaments which is nonspecific. There is heterogeneous signal on T1 and T2 imaging along the right lateral mass of C1.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is mild anterior subluxation of C2 on C3 associated with some facet hypertrophy predominantly on the left side. There are left-sided uncovertebral osteophytes present at this level which mildly narrow the left neural foramen.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is mild anterior subluxation of C7 on T1.The vertebral artery flow voids appear to be intact.
1.The right lateral mass of C1 is somewhat heterogeneous and irregular. This is nonspecific. It is possible that this is related to degenerative change. A CT of the cervical spine may be helpful in further evaluating if clinically appropriate.2.There are some minor degenerative changes present in the cervical spine without significant compromise of spinal canal or exiting nerve roots.3.Some images are degraded by patient motion which may obscure more subtle anomalies can