Neck pain extending into the shoulders and arms with tingling and numbness. Bilateral weekness. History of rheumatoid arthritis/fibromayalgia/lupus. History of previous surgery at C6-C7 in March of 2004.

TECHNIQUE:
Multiplanar, multisequence image acquisitions of the cervical spine were obtained using a 0.6 Tesla Fonar Stand-Up/Upright MRI unit. No intravenous contrast was given. Intravenous access could not be obtained.

FINDINGS:
Alignment and Bony Structures:

There has been previous fusion of C6 and C7.

There is a soft tissue posterior to the odontoid process which is low signal intensity on all imaging sequences. It may be fibrosis/pannus related to rheumatoid arthritis. It midly narrows the craniocervical junction. However,, there is no impingement of the cord.

Spinal Cord: Normal in size, contour and signal initensity.

There has been probable resection of the left love of the tyroid gland. Correlate with clinical history.

Disc Spaces:

C2-3: normal

C3-4: Disc space height is well maintained. There is disc osteophyte complex centrally and extending to the left, abutting and the thecal sac. There is uncinate spurring on the left. These findings contribute to severe left neural foraminal narrowing. The right neural foramen is patent. There is no spinal stenosis.

C4-5: disc space height is well maintained. There is a small central disc protrusion abutting the ventral thecal sac. The neural foramen are patent. There is no spinal stenosis.

C5-6: There is mild disc psace narrowing. There is no disc bulge or disc protrusion. There is no spinal stenosis or neural framinal stenosis.

C6-7: There is fusion of C6 and C7. The neural foramina are patent. There is relative mild spinal canal narrowing. However ther is no spinal stenosis.

C70T1: disc space height is well maintained. There is minimal disc ostephyte complex and a small central disc protrusion. The neural framen are patent. Ther is mild relative spinal canal narrowing. However there is no spinal stenosis.

JUST WANT TO KNOW IF I AM LOOKING AT POSSIBLE SURGER ON ANY OF THIS. THANKS.