MRI cervical spine, without contrast:

Date: 4/20/2014.

Indication: Neck and arm pain.

Technique: Multiplanar images obtained cervical spine without IV
gadolinium.

Comparison: There is no prior imaging available for comparison.

Findings: The sagittal images demonstrate maintenance of the
vertebral body heights, overall alignment and marrow signal.
Cervical spinal cord demonstrates normal signal characteristics and
morphology. The craniocervical junction appears unremarkable.

The visualized paraspinal soft tissues appear within normal limits.

Axial images:

C2-C3: Minimal degenerative changes of the disc space without
significant neural foraminal or central canal stenosis.

C3-C4: Disc osteophytic ridge. Mild narrowing of the left neural
foramen. Mild to moderate overall central canal stenosis. Question
calcifications of the longitudinal ligament in this location. The
right neural foramen appears within normal limits.

C4-C5: Disc osteophytic ridge with a superimposed right paracentral
disc protrusion. This results in severe central canal stenosis.
Severe right neural foraminal stenosis. Moderate narrowing of the
left neural foramen.

C5-C6: Disc osteophytic ridge with findings concerning for a
superimposed right paracentral disc protrusion. Severe central
canal stenosis with compression of the spinal cord. There is severe
narrowing of both neural foramina.

C6-C7: Disc osteophytic ridge. There is moderate overall neural
foraminal or central canal stenosis.

C7-T1: No significant neural foraminal or central canal stenosis.

Impression:

Right paracentral disc protrusions at C4-C5 and C5-C6 levels.
C5-C6, there is severe central canal stenosis and compression of
the spinal cord. Severe bilateral neural foraminal stenosis.
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I will be having posterior cervical laminectomy and fusion of C2-T2 on this Thursday.

Any thoughts?

Daryl