53-year-old female with radicular upper extremity pain bilateral right worse than left. Evaluate for cervical disc disease. At C4-5, there is a disc osteophyte complex eccentric to the left, which causes mild spinal canal stenosis and minimal left neural foraminal narrowing. At C5-6 there is a small disc osteophyte complex, without significant neural foraminal narrowing. However, there is no significant spinal canal or neural foramen stenosis at this level. There is no significant disc disease involving the remainder of the cervical spine, but there are multiple cystic structures in the lateral aspect of the neural foramina of C6-7, C7-T1, and T1-T2, the largest of which measures up to 12 mm. The cervical spine alignment is maintained and the cervical vertebral bodies and disc spaces are appropriate in height. The bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.
1.Mild spondylotic changes involving the cervical spine involving the C4-5 and C5-6 levels, with up to mild spinal canal narrowing at C4-5.2.Multiple bilateral neural foraminal perineural cysts at the C6-7, C7-T1, and T1-T2 levels.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.