Chronic neck stiffness and pain. Evaluate for seronegative spondyloarthropathies. Cervical Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is a subcentimeter hypointense focus in the C4 vertebral body, which may represent an enostosis. The vertebral bone marrow signal is otherwise unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.Lumbar Spine: There is absence of the usual lumbar lordosis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
No evidence of spondyloarthropathy involving the cervical or lumbar spine.