UPRIGHT MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST WITH ADDITIONAL SAGITTAL UPRIGHT VIEWS

UPRIGHT MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST WITH ADDITIONAL SAGITTAL UPRIGHT VIEWS

FINDINGS:             The vertebral bodies are in relatively good alignment.  The patient is slightly rotated.  The cord shows no significant signal abnormality and there is no Chiari malformation.

At the level of C5-C6, there is slight disc space loss.  There is slight increased signal in the C6 vertebral body seen both on T1 and T2 weighted images of uncertain significance and may represent some modic type changes.  There is no evidence of fracture to the vertebral bodies.

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

At the level of C3-C4, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  There are slight osteophytic changes of the facet joints.

At the level of C4-C5, there is a central-to-slightly right paracentral disc herniation causing indentation on the anterior thecal sac seen on image 8 of series 105 and image 7 of series 107.  There is slight indentation on the exiting right neuroforaminal region, but no significant impingement bilaterally.

At the level of C5-C6, there is diffuse disc herniation and mild central canal stenosis.  There is slight bilateral neuroforaminal narrowing.  This is seen on images 11 and 12 of series 105 and image 7 of series 107.

At the level of C6-C7, there is a diffuse disc herniation with indentation on the anterior thecal sac.  There is no significant central canal stenosis.  There is left neuroforaminal narrowing secondary to disc herniation.  There is no significant right neuroforaminal narrowing.  There are some osteophytic changes of the facet joints.

 

At the level of C7-T1, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  There are osteophytic changes of the facet joints.

IMPRESSION:        Changes consistent with disc herniation at the level of C4-C5, C5-C6, and C6-C7 as discussed above.

Thank you for the referral.

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