Clinical question: Evaluate cord. Signs and symptoms: Pain. Nonenhanced cervical MRI:There is normal anatomical alignment of cervical spine however with mild reversal of cervical lordosis at C5-C6 level.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 demonstrate a right lateral linear T2 hyperintensity within the annulus of the disc suggestive of an annular fissure. Finding is best appreciated on axial T2 series 901 image 24 and sagittal T2/T2 STIR image 8. No spinal stenosis or neural foraminal compromise.C4-C5 demonstrate mild degenerative changes and unremarkable otherwise.C5-C6 demonstrate mild bilateral uncovertebral hypertrophy changes resulting in mild right neural foraminal compromise and unremarkable otherwise.C6-C7 demonstrate mild disc disease, shallow central and left paramedian disc protrusion minimally indents the thecal sac without spinal stenosis. Moderate bilateral neural foraminal compromise (R>L).C7-T1 is unremarkable.T1-T2 is unremarkable.There is normal signal intensity of cervical and upper most visualized thoracic cord to T2 level.
1.Mild degenerative changes of cervical spine without evidence of spinal stenosis at any level.2.Mild to moderate neural foraminal compromise as detailed per level above.3.Normal signal intensity and caliber of the cervical and upper most visualized thoracic cord.