Diagnosis: Radiculopathy, cervical regionClinical question: R/O cervical disc disease. EMG shows chronic L C8 radiculopathySigns and Symptoms: Weakness L hand The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal. There is disc desiccation and a right lateral recess disc protrusion which encroaches on the right-sided exiting nerve roots at this level. At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is mild posterior ligamentous hypertrophy present at this level. There is disc desiccation present at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is mild posterior ligamentous hypertrophy present at this level. There is disc desiccation present at this level.At C5-6 there is no significant compromise to the spinal canal. There is right-sided uncovertebral osteophyte formation associated with a right lateral recess disc protrusion which extends into the neural foramen and encroaches the right-sided exiting nerve roots.At C6-7 there is no significant compromise to the spinal canal. There is right-sided uncovertebral osteophyte formation associated with a right lateral recess disc protrusion and mild to moderate encroachment of the right-sided exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The right vertebral artery is small relative to the left vertebral artery.
1.There are multilevel degenerative changes present in the cervical spine with encroachment of right-sided exiting nerve roots at C3-4, C5-6 and to a lesser degree C6-7.