67 years Male (DOB:11/15/1948)Reason: neck pain History: neck painPROVIDER/ATTENDING NAME: JAVAD HEKMATPANAH JAVAD HEKMATPANAH The cervical vertebral bodies are appropriate in overall alignment and height. There is T2 signal hyperintensity within the cervical spinal cord at the C3-4 level where there is a spinal stenosis.Within the C7 vertebral body anteriorly there is a 10 mm T1 hyperintense lesion which suppresses on the inversion recovery images and most likely represents a vertebral body hemangioma.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is loss of disc space height, endplate reactive changes and endplate and uncovertebral osteophytes associated with flattening of the spinal cord and T2 signal hyperintensity in the spinal cord. Overall there is a moderate to severe degree of spinal stenosis. There is also encroachment of the exiting nerve roots bilaterally at this level. The endplate reactive changes are bright on T2 and predominantly low signal on T1 suggesting that they are subacute.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a small central disc protrusion at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a diffuse disc bulge present this level associated with ligamentum flavum hypertrophy resulting in some mild narrowing of the spinal canal. There is mild narrowing of the neural foramina at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
There is a moderate to severe degree of spinal stenosis at C3-4 related to degenerative changes which results in flattening of the spinal cord and signal changes within the spinal cord. There is associated bilateral encroachment of exiting nerve roots and some subacute inflammatory reactive type changes.