MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST

INDICATION FOR STUDY:         723.1 and 722.4, MVA.

FINDINGS:               Sagittal T1 and T2 and axial T2 gradient echo images were obtained on the Open MRI at Fort Pierce.  The vertebral bodies appear in relatively good alignment.  The cord shows no significant signal abnormality.

At the levels of C2-C3 and C3-C4, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.

At the level of C4-C5, there is slight indentation on the anterior thecal sac, but no significant central canal stenosis or neuroforaminal narrowing.

At the level of C5-C6, there is a diffuse disc herniation with indentation on the anterior thecal sac.  There is no significant central canal stenosis or neuroforaminal narrowing.

At the level of C6-C7, there is a central disc herniation with indentation on the anterior thecal sac, but no significant central canal stenosis or neuroforaminal narrowing.

At the level of C7-T1, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  Incidentally noted are changes, which appear to represent on the right side at the T1-T2 level a cystic area in the neuroforaminal region just lateral of the opening in the neuroforamina.  The significance is somewhat uncertain.  If there is any further concern, would recommend dedicated evaluation of the thoracic spine as needed.  This was incidentally seen on the sagittal images and is seen on image 11 of series 3 and series 2.

Thank you for the referral.

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