Male, 39 years old, with pain radiating to the shoulder. Straightening of the cervical lordosis is likely positional. Alignment is otherwise within normal limits. Vertebral body height and morphology are unremarkable. No evidence of marrow replacement or edema is seen. The visualized spinal cord shows normal signal intensity and morphology throughout. No epidural lesions are suspected.A small central disc protrusion at C6-7 has not substantially changed. No associated spinal canal or foraminal compromise is seen. The remaining intervertebral discs are preserved and free of significant herniation. Foraminal narrowing on the right at C3-4, primarily due to uncovertebral hypertrophy, is unchanged as well.Incidental note is made of prominent bilateral palatine tonsils, a finding which was not present on the prior examination.
1.Minimal disc degeneration is seen without evidence of spinal canal stenosis, cord impingement or high-grade foraminal compromise. Mild foraminal narrowing is evident on the right at C3-4 due to uncovertebral hypertrophy.2.Incidental note is made of bilaterally prominent palatine tonsils, a new finding from the prior examination. Correlation with physical examination is recommended.