57 years Male (DOB:2/5/1959)Signs and Symptoms: left lateral neck pain and radiating left arm painPROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal. There is left-sided facet hypertrophy present associated with encroachment of left-sided exiting nerve roots within the neural foramen. There is disc desiccation present at this level. This has not changed significantly since the prior exam.At C3-4 there is a right paramedian disc protrusion present associated with uncovertebral osteophytes and narrowing of the right neural foramen. There is some effacement of spinal fluid ventral to the right hemicord at this. There is disc desiccation present at this level. This has not changed significantly since the prior exam.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is disc desiccation present at this level. There is a broad-based central disc protrusion at this level. This has not changed significantly since the prior exam.At C5-6 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with uncovertebral and endplate osteophytes. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level there is partial effacement of spinal fluid ventral to the spinal cord with a mild degree of spinal stenosis at this level. This has not changed significantly since the prior exam.At C6-7 there is no significant compromise to the spinal canal. There is disc desiccation and a broad-based left paramedian disc protrusion at this level associated with mild encroachment of left-sided exiting nerve roots within the neural foramen. This has not changed significantly since the prior exam.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
There are multilevel degenerative changes present in the cervical spine associated with a mild degree of spinal stenosis at C5-6 and encroachment of exiting nerve roots within the neural foramina at C5-6 bilaterally, the left side at C2-3 and C6-7 and the left side at C3-4. These findings have not changed significantly since the prior exam.