CLINICAL INDICATION: M54.2 Cervicalgia. Left shoulder pain.
COMPARISON: 2/23/2016
TECHNIQUE: Multisequence, multiplanar MRI of the cervical spine performed
without IV contrast. Multiplanar reconstructed images were generated and
reviewed by the interpreting radiologist at the PACS workstation.
FINDINGS: Cervical spine alignment is anatomic without evidence for static
spondylolisthesis. Vertebral body heights are maintained. There is
diffusely decreased T1 marrow signal suggesting hematopoietic marrow. No
prevertebral soft tissue swelling is noted. Small left maxillary sinus
mucus retention cyst. Partially imaged intracranial structures are grossly
normal. Signal from the imaged spinal cord is normal. Some of the sequences
are mildly limited by patient motion.
C2-C3: No disc bulge or protrusion with no canal or neural foraminal
stenosis.
C3-C4: Mild right uncovertebral osteophytosis with mild right and no left
neural foraminal stenosis. No canal stenosis with no disc bulge or
protrusion.
C4-C5: Tiny posterior disc protrusion without canal or neural foraminal
stenosis.
C5-C6: Small broad-based posterior disc protrusion with some effacement of
the ventral CSF but no canal or neural foraminal stenosis.
C6-C7: Left paracentral small disc protrusion without canal or neural
foraminal stenosis.
C7-T1: No disc bulge or protrusion with no canal or neural foraminal
stenosis.
Some small disc protrusions noted in the imaged thoracic spine without
canal or neural foraminal stenosis.
IMPRESSION:
1. Mild hematopoietic marrow which is nonspecific but most commonly seen
in the setting of anemia, obesity, and smoking.