Diagnosis: Closed fracture of cervical vertebra, unspecified level without mention of spinal cord injuryClinical question: looking for soft tissue foraminaSigns and Symptoms: weakness of right arm extension The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord demonstrates signal hyperintensity along the anterior aspect of the spinal cord at the C6 and C7 levels. Overall the patient's spinal canal is relatively smaller on a congenital basis.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal. There are right-sided uncovertebral osteophytes present at this level associated with disc material encroaching right-sided exiting nerve roots at this level. This is stable compared to the prior exam.At C4-5 there is no significant compromise to the spinal canal or neural foramina.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. There are some uncovertebral osteophytes present bilaterally at this level which are worse on the left versus the right side. There is encroachment of the left-sided exiting nerve roots. There is mild narrowing of the right neural foramen at this level. There is some adjacent signal hyperintensity within the C6 and C7 vertebral bodies which was also present on the prior exam and has mildly subsided but not resolved. The narrowing of the left neural foramen is slightly more on the current exam when compared to the priorAt C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are multilevel degenerative changes present in the cervical spine worse at C6-7 where there is encroachment of the left-sided exiting nerve roots within the neural foramina due to disc material and endplate osteophytes which narrowing has slightly progressed when compared to the prior exam. Signal changes within the C7 and C6 vertebral bodies adjacent to the disc protrusion signify subacute stage of an inflammatory change. 2.There is encroachment of right-sided exiting nerve roots at C3-4 related to uncovertebral osteophytes and disc material. This is stable when compared to the prior exam and not associated with acute inflammatory changes.3.There is some myelomalacia present within the spinal cord at the C6-7 level which remains stable compared to the previous exam