Clinical question: Evaluate for cervical spinal disease. Signs and symptoms: Right-sided cervical radiculopathy. Nonenhanced cervical MRI:The signal intensity in the alignment of the vertebral column is unremarkable.Foramen magnum is unremarkable.C2-C3 demonstrate minimal degenerative changes and unremarkable otherwise.C3-C4 demonstrate mild disc disease and loss of disc height without significant facet or ligamentum flavum hypertrophy. No spinal stenosis however mild to moderate left neural foraminal compromise is detected.C4-C5 demonstrate mild degenerative disease without spinal stenosis however moderate left neural foraminal compromise is present.C5-C6 demonstrate moderate disc disease and loss of disc height, moderate left and mild right facet hypertrophy changes and mild bilateral ligamentum flavum hypertrophy. No evidence of spinal stenosis. Moderate left and mild right neural foraminal compromise is however present.C6-C7 demonstrate advanced disc disease and loss of disc height, mild bilateral ligamentum flavum and facet hypertrophic changes are noted. There is no evidence of central spinal stenosis. Moderate right and significant left neural foraminal compromise are detected.C7-T1 demonstrate mild disc disease, moderate right and mild left facet and ligamentum flavum hypertrophy. There is significant right and mild left neural foraminal compromise.The signal intensity and caliber of the cervical cord and upper most visualized thoracic cord is unremarkable.
1.Degenerative changes of cervical spine most noticeable at C5-C6 and C6-C7 levels however without evidence of central spinal stenosis at any level.2.Multilevel neural foraminal compromise (some severe) as detailed per level above.3.Normal signal intensity and caliber of cervical and upper most visualized thoracic cord.