Brachial neuritis or radiculitis NOSClinical question: Rule Out Cervical Spine Stenosis/Impingement.Signs and Symptoms: Rule Out Cervical Spine Stenosis/Impingement. The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is abnormal T2 signal hyperintensity within the pons. There is a left sided C3 vertebral body lesion present measuring approximately 10 mm x 8 mm axial dimensions which is bright on T1 and T2 imaging and most likely represents a hemangioma. It suppresses on the fat suppressed images. A similar-appearing but smaller lesion is present along the odontoid.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.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 some loss of disc space height, endplate osteophytes and a disc bulge as well as uncovertebral osteophytes at this level and some posterior ligamentous hypertrophy. There is associated effacement of spinal fluid ventral and posterior to the spinal cord and encroachment of the exiting nerve roots within the neural foramina bilaterally at this level. There are endplate reactive changes present which are T2 hyperintense. Overall there is a mild to moderate degree of spinal stenosis present at this level and encroachment of the left-sided exiting nerve roots within the neural foramina. Overall this has not changed substantially since the prior exam from 11/15/2014.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are degenerative changes present in the cervical spine at C6-7 where there is a mild to moderate degree of spinal stenosis and encroachment of the left-sided exiting nerve roots. Endplate reactive change - with findings suggestive of a subacute stage- is present. Overall this has not changed substantially since the prior exam from 11/15/20142.There are signal changes within the pons. This is somewhat unusual at age 44. Overall this has not changed substantially since the prior exam from 11/15/2014. Please correlate with patient's clinical symptoms. Further imaging evaluation can be obtained using a dedicated MRI of the brain.