Clinical question: Neck pain. Signs and symptoms: Neck pain. Nonenhanced cervical MRI:There is normal anatomical alignment the vertebral column.The signal intensity of vertebral column demonstrate changes secondary to degenerative disease and unremarkable otherwise.There is normal caliber and signal intensity of the cervical and upper most visualized thoracic cord.Foramen Magnum and is unremarkable.C2 -- C3 is unremarkable.C3 -- C4 demonstrate mild degenerative changes and unremarkable otherwise.C4 -- C5 demonstrate mild degenerative changes. There is mild asymmetric left uncovertebral hypertrophic change with resultant mild compromise of the left neural foramina. No spinal stenosis.C5 -- C6 demonstrate mild degenerative changes with resultant moderate right neural foraminal compromise and no central spinal stenosis.C6 -- C7 demonstrate moderate degenerative changes, there is a shallow broad-based disk protrusion and hypertrophic spur which results in partial effacement of the ventral subarachnoid space however without spinal stenosis. Mild to moderate bilateral ligamentum flavum hypertrophy is also detected.C7 -- T1 demonstrate minimal degenerative disease and unremarkable otherwise.The uppermost visualized thoracic spine and thoracic cord to T4 level is unremarkable.
1.Mild-to-moderate degenerative changes of cervical spine without a meniscal central spinal stenosis at any level as detailed.2.Degenerative changes however results in mild to moderate neuroforaminal compromise as detailed per level above.