Reason for Exam: Diagnosis:
stenosis, radiculopathy Cervicalgia
Spinal stenosis in cervical region
Brachlal neuritis or radiculitis NOS
MRI CERVICAL SPINE WO CONTRAST
CLINICAL INFORMATION: 52 years Male, presenting history of stenosis, left
cervical radiculopathy
COMPARISON: 8/29/2013
TECHNIQUE: Using a 1.5 Tesla imaging system, MRI of the cervical spine is
performed, utilizing axial and sagittal T1- and T2-weighted acquisitions
without gadolinium.
FINDINGS:
Images are degraded by patient motion.
There is straightening of cervical vertebrae from C3-C7. Redemonstrated is
anterior cervical discectomy and instrumented fusion at C3-C4 as well as
anterior cervical discectomy, with anterior instrumented and interbody
strut graft fusion at C5-C7. Marrow signal is otherwise within normal
limits. Remaining vertebral body heights are preserved. There is loss of
disc height at C4-05, consistent with degenerative disc disease. The
cervical spinal cord Is normal in signal intensity and caliber, and the
cervicomedullary junction Is normal.
Postsurgical Findings: As above
Axial images demonstrate:
C2-C3: Uncovertebral joint osteophytes and facet arthropathy results in
right greater than left neural foramina! stenosis but no severe central
canal compromise.
C3-C4: Diffuse disc osteophyte contributes to right neural foramina!
stenosis without severe central canal compromise. Left neural foramen is
patent,
C4-05: There is minimal disc osteophyte complex resulting in effacement
of ventral subarachnoid space and right greater than left neural foraminal
stenosis.
C5-C6: Minimal disc osteophyte complex contributes to neural foraminal
stenosis without central canal compromise.
C6-C7: Uncovertebral joint osteophytes contribute to bilateral neural
foraminal stenosis, without severe central canal compromise.
C7-T1; Negative for disc protrusion, central canal or neural foraminal
stenosis.
IMPRESSION:
Multilevel neural foraminal stenosis, as above, most pronounced at C6 -C7.
Mild degenerative spondylosis and spondyloarthropathy as described above,
without severe spinal canal compromise at any level
Redemonstrated postoperative findings.