CHIROPRACTIC CARE EXPERT FORUM
Can You Interpret, Please?

Can You Interpret, Please?

HISTORY: Forty-nine-year old male w/ neck pain
TECHNIQUE: Sagittal T1, T2, as well as STIR sequences were obtained, as well as T1 and T2 weighted axial sequences.  Sagittal T2 weighted sequences were obtained.
FINDINGS:
1. There is relative increased signal seen in the upper five cervical vertebral bodies including the odontoid with low signal seen in the vertebral body of C7-T1 and T2.
2. There are posterolateral hypertrophic changes seen at the level on the invertebral plate of C4-C5 w/ no significant encroachment seen upon the fecal sac at these levels.
3. There is, however, relative narrowing of the lower portion of the C3-4 intervertebral foramen on the right and at level C5-C6 also associated w/ hypertrophic changes seen on the uncovertebral joint as previously described.  There is no significant narrowing seen at level C4-C5.
4. There was no evidence of any volume loss or any destruction seen the cervical vertebral bodies.
IMPRESSION: Degenerative changes seen @ levels C3-C4, C4-5 and C5-6 primarily on the right most pronounced @ C5-C6 w/ decreased disc/degenerative disc seen @ level C5-C6.  Intervertebral foraminal narrowing seen @ C3-C4 & C5-C6 on the right due to the hypertrophic changes previously described.  Normal appearance of the cervical spinal cord.
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