17th November 2007
MRI of the cervical spine with and without contrast:
C2-3 Small to moderate sized left paracentral disk protrusion with a small inferiourly extruded comonent. This does not compress the cord. There is bilateral moderate hypertrophic facet arthropathy and mild bilateral neural foraminal stenosis. The midline AP dimension of the spinal canal is 10 mm and there is not appreciable cord flattening.
C3-4 There is a minimal broad-based disc bulge and mild right and moderate left hypertrophic facet arthropathy. The midline AP dimension of the spinal calan is 10 mm at this level, and this level is notable for a small area of intrinsic cord edema eccentric left within the cord measuring 5x8 mm in AP and height dimensions, and best appreciated on teh sagittal T2 and STIR sequences.
C4-5 Minimal posterior broad-based disc bulge and mild to moderate facet arthropathy with some unsovertebral spurring. There is mild bilateral neural foraminal stenosis, but no central canal stenosis at this level.
C5-6 There is a large broad-based disc protrusion centered in teh right paracentral region with extension into the right interforaminal region as well as the posterior central disc area. There is also a small to moderate right paracentral inferiourly extruded component. The AP dimensions of theis disc protrusion is as great as 6-7 mm, and there is some moderately severe impingment involving the right c6 nerve, and there is mild to moderate mass effect on the cord with a midline AP dimension in the vicinity of 7-8 mm. THere is intrinsic cord edema involving the left aspect of the cord, there is the suggestion of very mild far left lateral enhancement.
C6-7 Moderate-sized broad-based disk protrusion slightly eccentric right. The midline AP dimension of the spinal canal is 8 mm and there is mild cord flattening. There is mild impingement with respect to the right C7 nerve and its intraforminal course.
There are levels of mild bilateral neural foraminal stenosis as discussed above.
C2-3 Small to moderate sized left paracentral disk protrusion with a small inferiourly extruded comonent. This does not compress the cord. There is bilateral moderate hypertrophic facet arthropathy and mild bilateral neural foraminal stenosis. The midline AP dimension of the spinal canal is 10 mm and there is not appreciable cord flattening.
C3-4 There is a minimal broad-based disc bulge and mild right and moderate left hypertrophic facet arthropathy. The midline AP dimension of the spinal calan is 10 mm at this level, and this level is notable for a small area of intrinsic cord edema eccentric left within the cord measuring 5x8 mm in AP and height dimensions, and best appreciated on teh sagittal T2 and STIR sequences.
C4-5 Minimal posterior broad-based disc bulge and mild to moderate facet arthropathy with some unsovertebral spurring. There is mild bilateral neural foraminal stenosis, but no central canal stenosis at this level.
C5-6 There is a large broad-based disc protrusion centered in teh right paracentral region with extension into the right interforaminal region as well as the posterior central disc area. There is also a small to moderate right paracentral inferiourly extruded component. The AP dimensions of theis disc protrusion is as great as 6-7 mm, and there is some moderately severe impingment involving the right c6 nerve, and there is mild to moderate mass effect on the cord with a midline AP dimension in the vicinity of 7-8 mm. THere is intrinsic cord edema involving the left aspect of the cord, there is the suggestion of very mild far left lateral enhancement.
C6-7 Moderate-sized broad-based disk protrusion slightly eccentric right. The midline AP dimension of the spinal canal is 8 mm and there is mild cord flattening. There is mild impingement with respect to the right C7 nerve and its intraforminal course.
There are levels of mild bilateral neural foraminal stenosis as discussed above.