Reason: degenerative disc disease? History: neck pain with neuropathic arm pain The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is straightening of the normal cervical curvature present. There is multilevel disk desiccation.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There are uncovertebral osteophytes present at this level right more than left with some mild encroachment of the right-sided exiting nerve rootsAt C4-5 there is loss of disk space height a diffuse disk bulge and endplate and uncovertebral osteophytes resulting in effacement of spinal fluid ventral posterior the spinal cord and some deformity of the spinal cord . There is some posterior ligamentous hypertrophy present. Overall there is a moderate degree of spinal stenosis at this level.At C5-6 there is no significant compromise to the spinal canal . There are bilateral virtual osteophytes present at this level associated with disk material and encroachment of the exiting nerve roots bilaterally.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.At T1-T2 and T2-T3 there disk bulge is present associated with some minor narrowing of the neural foramina.The vertebral artery flow voids appear to be intact. The right vertebral artery is larger than the left vertebral artery and is suspected to have an aortic arch origin.
1.There are multilevel degenerative changes present in the cervical spine which are worse at C4-5 where there is a moderate degree of spinal stenosis and bilateral neural foramen encroachment due to degenerative changes as detailed above. There is some encroachment of exiting nerve roots at the C3-4 and C5-6 due to degenerative changes as well.