Brachial neuritis or radiculitis. Intermittent right C4 radiculopathy 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 or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal. There are right sided uncovertebral osteophytes at this level associated with disk material which narrow the right neural foramen and encroach on the right sided exiting nerve roots. T1 signal hyperintensity with minimal T2STIR hyperintensity adjacent to the right sided uncovertebral hypertrophy suggests chronic stage of endplate reaction possibly with a minor subacute component.At C5-6 there is no significant compromise to the spinal canal. There are subtle right sided uncovertebral osteophytes at this level associated with adjacent T2 STIR hyperintensity and T1 hypointensity suggesting subacute stage of inflammatory reaction. There is mild narrowing of the right neural foramen. There is minimal posterior ligamentous hypertrophy at this level.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.The vertebral artery flow voids appear to be intact.
1.There are uncovertebral osteophytes at C4-5 encroaching the right sided exiting nerve roots (right C4 nerve roots) with associated with chronic and possibly some subacute inflammatory changes.2.There is mild narrowing of the right neural foramen at C5-6 associated with subacute inflammatory change (more inflammatory change than at C4-5 but smaller osteophytes).