Cervical disc protrusion
9-month history of cervical spine pain with LUL pain/weakness/P+N into the hand with loss of dexterity. Not improved with the physiotherapy. Bloods ordered for the possible inflammatory component.
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Normal craniocervical junction.
Large C3/C4 left paracentral disc protrusion compressing the left side of the cord. No high T2 intramedullary signal. Mild bilateral foraminal stenosis.
Disc oestophyte complex at C5/C6 causing a moderate bilateral foraminal stenosis.
Moderate left foraminal stenosis at C6/C7.
C3/C4 disc protrusion with cord compression. Cervical disc prolapse is far less commonly observed than in the lumbar spine.