Clinical question: Evaluate for stenosis. Signs and symptoms: Pain. Nonenhanced cervical MRI:There is normal anatomical alignment of vertebral column. There is mild straightening of cervical lordosis likely secondary to degenerative disease.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 is unremarkable.C4-C5 demonstrate mild degenerative changes without spinal stenosis or neural foraminal compromise.C5-C6 demonstrate moderate disc disease and loss of disc height and mild facet disease. There is moderate (left greater than right) neural foraminal compromise and no central spinal stenosis.C6-C7 demonstrate advanced disc disease and loss of disc height. There is a disc-osteophyte complex in the midline and to the right. There is resultant significant right neural foraminal compromise, moderate left neural foraminal compromise and no central spinal stenosis.C7-T1 is unremarkable.Upper most visualized thoracic spine to T3 level demonstrate no spinal stenosis.
1.At C6-C7 degenerative changes and including a disc-osteophyte complex results in significant bilateral (right greater than left) neural foraminal compromise and no central spinal stenosis.2.At C5-C6 degenerative changes results in moderate bilateral neural foraminal compromise (left greater than right) and no central spinal stenosis.3.Mild degenerative changes at other levels as detailed4.Normal signal intensity and caliber of cervical and upper most visualized thoracic cord.