Clinical question: Stiff leg. Signs and symptoms: Lower extremity stiffness. Nonenhanced cervical MRI:Foramen magnum is unremarkable.C2-- C3 demonstrate mild degenerative changes and unremarkable otherwise.C3 -- C4 demonstrate mild degenerative changes and unremarkable otherwise.C4 -- C5 demonstrate mild degenerative changes with result in mild to moderate right neural foraminal compromise and unremarkable otherwise.C5 -- C6 demonstrate moderate degenerative disk and mild facet/ligamentum flavum hypertrophy without significant change since prior exam. There is no central spinal stenosis however moderate bilateral neural foraminal (right greater than left) compromise is present. No change since prior exam.C6 -- C7 demonstrate slight interval decreased size of a left lateral disk protrusion since prior exam. There is no central spinal stenosis. Mild left neural foraminal compromise is again noted without change.C7 -- T1 demonstrate asymmetric right-sided hypertrophic changes with resultant mild to moderate right neuroforaminal compromise.There is normal signal intensity and caliber all cervical and uppermost visualized thoracic cord similar to prior exam.
1.Stable mild to moderate degenerative changes of cervical spine.2.No evidence of central spinal stenosis at any level.3.Interval decreased size of a left lateral disk protrusion at C6 -- C7 since prior exam.4.Multiple levels of mild to moderate neural foraminal compromise without significant change since prior exam as detailed per level above.