Clinical question: Patient is status post football injury, does this patient's right hand numbness and tingling come from the neck. Nonenhanced cervical MRI:Examination demonstrates unremarkable signal intensity and normal anatomical alignment of vertebral. There is no detectable post traumatic bony or soft tissues of cervical spine on this study.Foramen magnum is unremarkable.There is generalized uniform narrowing than expected caliber of the spinal canal which is believed to represent a congenitally small spinal canal.C2-C3 is unremarkable.C3-C4 demonstrate mild degenerative disc disease and shallow small central disc protrusion which in combination with congenitally small canal results in mild central spinal stenosis without compromise of neural foramina.C4-C5 demonstrate mild disc degeneration, shallow central and right paramedian disc protrusion with resultant partial effacement of subarachnoid space and mild flattening deformity of the ventral aspect of the cord on the right. This finding also in combination with congenitally small canal results in mild central spinal stenosis however without neural foraminal compromise.C5-C6 demonstrate mild degenerative disc disease without spinal stenosis or neural foraminal compromise. There is a tiny right paramedian linear T2 hyperintensity within the annulus of the disc (axial T2 series 5 image 24) consistent with a small annular fissure.C6/C7 demonstrate moderate disc disease and loss of disc height, central and rightward broad base disc protrusion with resultant effacement of ventral subarachnoid space and mild flattening deformity of the ventral aspect of the cord and resultant mild central spinal stenosis and moderate right neural foraminal compromise.C7-T1 demonstrate mild degenerative disc disease and mild asymmetric right-sided facet hypertrophic changes. There is resultant moderate right neural foraminal compromise and no central spinal stenosis.The signal intensity of the cervical and upper most visualized cord remains within normal.
1.No detectable acute post traumatic findings.2.Uniformly smaller than expected caliber of the spinal canal representing congenital anatomical variation of small canal/short pedicles.3.C3-C4 demonstrate central disc protrusion with resultant mild central spinal stenosis.4.C4-C5 demonstrate a small central/right paracentral disc protrusion and mild central spinal stenosis.5.C5-C6 demonstrate a right paramedian annular fissure.6.C6-C7 demonstrate a broad-based central and rightward disc protrusion with resultant central spinal stenosis and right neural foraminal compromise.7.There are neural foraminal compromise as detailed level above. Please see above comments.