Originally Posted by Larry In SC

Any thoughts while I wait for my Dr to review?

results

FINDINGS: The craniocervical junction is unremarkable. The visualized vertebral bodies are normal height, signal intensity and alignment. The visualized portions of the spinal cord are of normal caliber and signal.

Level specific findings:

C2-C3: Left paracentral disc protrusion without spinal canal or neuroforaminal stenosis.

C3-C4: Central disc protrusion without spinal canal or neuroforaminal stenosis.

C4-C5: Central disc protrusion focally indents the ventral spinal cord and results in mild to moderate spinal canal stenosis. There is a posterior annular fissure. Right greater than left uncovertebral and facet hypertrophy results in mild right
neuroforaminal stenosis.

C5-C6: Disc osteophyte complex results in moderate to severe spinal canal stenosis and flattens the spinal cord. Uncovertebral facet hypertrophy results in moderate bilateral neuroforaminal stenosis.

C6-C7: Disc osteophyte complex in conjunction with uncovertebral and facet hypertrophy results in severe spinal canal stenosis with flattening of the spinal cord but no definite cord signal abnormality. There is also severe bilateral neuroforaminal
stenosis with a T2 hyperintense structure extending from the spinal canal through the left neural foramen and abutting the left vertebral artery, measuring 22 x 9 mm in maximal oblique dimensions.

C7-T1: Disc osteophyte complex eccentric to the left results in severe left neuroforaminal stenosis and mild spinal canal stenosis.

Impression
IMPRESSION:

T2 hyperintense structure extending from the thecal sac through the left C6-7 neural foramen. Differential considerations include nerve sheath tumor or potential pseudomeningocele, especially if there has been prior nerve root avulsion. Post contrast
imaging is recommended for further evaluation. At the time of post contrast imaging, T2 SPACE or CISS/FIESTA imaging should also be obtained to better evaluate the regional nerve roots.

There is an annular fissure at C4-5 with a disc protrusion causing focal moderate spinal canal stenosis. Moderate to severe spinal canal stenosis at C5-6 and severe spinal calcinosis at C6-7 with flattening of the cord but no definite cord signal
abnormality. Severe bilateral neuroforaminal stenosis at C6-7 and severe left neuroforaminal stenosis at C7-T1. Additional degenerative findings are further described above.