MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST

INDICATION FOR STUDY:         Cervical radiculopathy.

FINDINGS:               Sagittal T1 and T2 and axial T2 gradient echo images were obtained on the 1.5 Tesla GE MRI.  The vertebral bodies appear in relatively good alignment.  There is straightening of the normal curvature.  There are degenerative changes and degenerating spurring.

At the level of C2-C3, there are degenerative changes especially on the right with slight right neuroforaminal narrowing.  There is no significant disc herniation, central canal stenosis, or left neuroforaminal narrowing.

At the level of C3-C4, there is mild diffuse disc herniation and mild central canal stenosis.  There is no significant neuroforaminal narrowing bilaterally.  There are slight degenerative changes of the facet joints, especially on the right.

At the level of C4-C5, there is no significant central canal stenosis, but there is slight indentation on the anterior thecal sac.  There are also degenerative changes and slight disc disease causing mild right neuroforaminal narrowing.  There is no significant left neuroforaminal narrowing.

At the level of C5-C6, there is a left paracentral disc herniation and degenerative changes causing mild central canal stenosis.  There is no significant neuroforaminal narrowing bilaterally.  There are degenerative changes of the facet joints bilaterally.

At the level of C6-C7, there is diffuse disc herniation with left paracentral-to-slightly-lateral disc prominence causing mild central canal stenosis and left neuroforaminal narrowing.  There is also slight indentation on the exiting right neuroforamina.

At the level of C7-T1, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.

If there is any further concern, would recommend further evaluation as needed.

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