Clinical question: Assess for cervical radiculopathy, status post previous perineural cyst. Signs and symptoms: Weakness this right hand. Pre-and post-enhanced cervical MRI:There is normal anatomical alignment of vertebral column however with mild exaggeration of the lordosis.There is normal signal intensity and caliber of cervical and uppermost visualized thoracic cord.There is no areas of spinal canal compromise or stenosis at any level.Foramen magnum is unremarkable.C2 -- C3 is unremarkable.C3 -- C4 is unremarkable.C4 -- C5 demonstrate mild disk desiccation and loss of disk height and unremarkable otherwise.C5 -- C6 demonstrate moderate disk disease and loss of disk height and mild degenerative changes of posterior elements. Shallow broad base bulge of the disk is present. Mild neural foraminal compromise is suspected.C6 -- C7 demonstrate moderate disk disease and loss of disk height, mild facet and ligamentum flavum degenerative changes. No neural foraminal compromise.C7 -- T1 is unremarkable. There is revisualization of bilateral tiny Tarlov or perineural cysts (right larger than left) without definitive evidence of interval change in size or morphology.Post-enhanced images demonstrate no abnormal enhancement the vertebral column, cord or leptomeninges or the above-mentioned Tarlov cysts.
1.Mild interval progression of moderate degenerative disk disease since prior exam.2.No evidence of spinal compromise or stenosis at any level.3.Mild bilateral neural foraminal compromise is suspected only at C5 -- C6 and unremarkable at all other levels.4.Stable small bilateral Tarlov cysts (right greater than left at C7 -- T1.5.No detectable abnormal enhancement.