 CERVICAL SPINE: Vertebral body heights in the cervical spine are normal. There is mild reversal of the normal cervical spine lordosis. Alignment is otherwise maintained. There is intrinsic T1 hyperintensity involving the cervical and upper thoracic vertebral bodies likely related to radiation. No suspicious osseous lesions or evidence of epidural tumor. The spinal cord is of normal caliber and signal. There is no pathological enhancement. Mild degenerative changes are seen with small disc osteophyte complexes at C4-C5 and C5-C6 with effacement of the ventral thecal sac and minimal spinal canal stenosis at these levels. There is mild left neural foraminal stenosis at the C2-C3 level. No high-grade spinal canal narrowing or neural foraminal stenosis at any level. THORACIC SPINE
1. No evidence of metastatic disease in the cervical or thoracic spine.2. Extensive ill-defined soft tissue thickening and enhancement in the partially visualized right lower neck soft tissues above the level of the right lung apex. There is significantly increased FDG uptake within this region on recent PET-CT favoring metastasis over post treatment change. Please note these changes are in the region of the right brachial plexus and dedicated MRI brachial plexus study can be considered for better visualization of this region if clinically indicated.