MRI CERVICAL SPINE WITHOUT CONTRAST

CLINICAL HISTORY
Neck Pain

PROTOCOL
Multiplanar and multi-echo MRI of the cervical spine was performed without
administration of intravenous contrast.

FINDINGS
The study shows normal curvature and alignment of the cervical spine.
Vertebrae appears normal in height and show normal alignment. No osseous
destruction noted.
No marrow changes are seen.
[Moderate spinal stenosis is seen at C4-C5 and C5-C6 level and Mild stenosis
is seen at C3-C4 and C6-C7 level.]
The visualized spinal cord shows normal MR morphology and signal characteristics.

Disc Spaces:

C2-3: [Disc appear normal at this level. Disc show Pfirrmann Grade 2 degeneration
with no reduction in disc height. Grade 1 stenosis of bilateral neural foramina. Central
canal is patent. Facet joints appear normal. Ligamentum flavum is normal.]
C3-4: [Diffuse disc bulge is seen indenting thecal sac. Disc show Pfirrmann Grade 2
degeneration with no reduction in disc height. Grade 3 stenosis of bilateral neural
foramina. Mild stenosis of spine with thecal sac AP diameter 9.45 mm. Facet joint
hypertrophy is seen. Ligamentum flavum is normal.]
C4-5: [Disc protrusion is seen indenting thecal sac. Disc show Pfirrmann Grade 2
degeneration with no reduction in disc height. Grade 2 stenosis of bilateral neural
foramina. Moderate stenosis of spine with thecal sac AP diameter 7.88 mm. Facet
joint hypertrophy is seen. Ligamentum flavum is normal.]
C5-6: [Diffuse disc bulge is seen indenting thecal sac. Disc show Pfirrmann Grade 2
degeneration with no reduction in disc height. Grade 2 stenosis of bilateral neural
foramina. Moderate stenosis of spine with thecal sac AP diameter 7.95 mm. Facet
joint hypertrophy is seen. Ligamentum flavum is normal.]
C6-7: [Diffuse disc bulge is seen indenting thecal sac. Disc show Pfirrmann Grade 2
degeneration with no reduction in disc height. Grade 2 stenosis of bilateral neural
foramen. Mild stenosis of spine with thecal sac AP diameter 9.64 mm. Facet joint
hypertrophy is seen. Ligamentum flavum is normal.]
C7-T1: [Disc appear normal at this level. Disc show Pfirrmann Grade 2 degeneration
with no reduction in disc height. Grade 2 stenosis of bilateral neural foramina. Central
canal is patent. Facet joint hypertrophy is seen. Ligamentum flavum is normal.]
Posterior osseous structures and soft tissue
structures are normal.
No pre / paraspinal soft tissue collection is seen.

IMPRESSION

1. [Moderate spinal stenosis is seen at C4-C5 and C5-C6 level and Mild at
C3-C4 and C6-C7 level.]
2. [ Disc show Pfirrmann Grade 2 at multiple levels.]
3. [Grade 3 foraminal stenosis at C3-C4 level and Grade 2 stenosis at
multiple levels.]
4. [Multilevel Facet arthropathy is seen.]
 REPORT SUPPLEMENT

SPINAL STENOSIS

Spinal Levels
LEVEL C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-T1
Central 10.3 10.8 8.46 8.69 9.09 12.6
Canal
Diameter
(mm)
Central Patent Patent Moderate Moderate Mild Patent
Canal
Status
Thecal 10.6 9.45 7.88 7.95 9.64 11.9
Sac
Diameter
(mm)
Thecal Patent Mild Moderate Moderate Mild Patent
Sac
Status
Spinal None Indent Indent Indent Indent None
Column Thecal Thecal Thecal Thecal
Sac Sac Sac Sac
 DISC PATHOLOGY

Disc Disease

LEVEL C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-T1

Bulge / Normal Bulge Protrusion Bulge Bulge Normal
Herniation
Extent - 1.38 mm 2.31 mm 1.81 mm 1.58 mm -
Disc Normal Normal Normal Normal Normal Normal
Height
Pfirrmann Grade II Grade II Grade II Grade II Grade II Grade II
Grading
Annular - - - - - -
Tears
 VERTEBRAL BODIES

Vertebral Body
C2 C3 C4 C5 C6 C7 T1
LEVEL
None None None None None None None
Listhesis
None None None None None None None
Modic
Changes
None None None None None None None
Compression
Fracture
None None None None None None None
Schmorl’s
Node

Vertebral Joints

LEVEL C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-T1

Facet Joints None Hypertrophy Hypertroph Hypertrophy Hypertrophy Hypertrophy
y
Ligamentu None None None None None None
m Flavum
 NEURAL FORAMINA

Neural Foramina Stenosis

LEVEL C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-T1
Left Neural Grade 1 Grade 3 Grade 2 Grade 2 Grade 2 Grade 2
Foramina
Right Neural Grade 1 Grade 3 Grade 2 Grade 2 Grade 2 Grade 2
Foramina

Disclaimer
It is an online interpretation of medical imaging based on the available clinical data. Patient’s
identification in online reporting is not established, so this report cannot be utilized for any
medico legal purpose/ certifications. All modern machines/procedures have their own
limitations. If there is any clinical discrepancy, this investigation may be repeated or reassessed
by other tests.