Right shoulder immobility. Inflamed and enlarged area between cervical spine and R shoulder) Patient's body habitus and poor signal on the axial T2 fat saturated sequences through the supraclavicular region limit assessment of the supraclavicular region. However no obvious mass is apparent. No mass is seen involving the cervical paraspinous soft tissues on the cervical spine sequences.Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a disc osteophyte complex with moderate spinal canal stenosis at this level. No cord signal abnormality. There is mild to moderate bilateral right worse than left neural foraminal stenosis related to uncovertebral hypertrophy and mild facet arthropathy.C4-5: There is a disc osteophyte complex with moderate spinal canal stenosis at this level. There is moderate right neural foraminal stenosis and mild left neural foraminal stenosis.C5-6: There is a disc osteophyte complex and mild ligamentum flavum thickening which contribute to moderate spinal canal stenosis. There is mild right and moderate left neural foraminal stenosis.C6-7: Small disc osteophyte complex and ligamentum flavum thickening with mild spinal canal narrowing. There is minimal narrowing of the left neural foramen. Right neural foramen is patent. C7-T1: No significant compromise to the spinal canal or right neural foramen. There is mild left neural foraminal narrowing.Disc bulge at T2-T3 is partially imaged without spinal canal stenosis. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Patient's body habitus and poor signal on the axial T2 and postgadolinium sequences through the supraclavicular region limit assessment of the supraclavicular region on this cervical spine MRI study. However no obvious mass is apparent. If clinically indicated targeted ultrasound of this region can be considered. Please also refer to separate report for findings in the shoulder.2. There are degenerative changes throughout the cervical spine including moderate spinal canal stenosis at the C3-C4, C4-C5, and C5-C6 levels. No cord signal abnormality. Neural foraminal narrowing is also seen at multiple levels as detailed above.