Neck pain and arm weakness, Spinal stenosis, cervical region [M48.02] Examination is limited by motion artifact.There is accentuated lordosis at the C7 level. The vertebral body heights are maintained. Heterogeneous marrow signal is demonstrated throughout the cervical spine, similar to prior examination. There is a 0.4 cm T2 hyperintense lesion involving the T2 spinous process, new since prior examination. The cervical spinal cord demonstrates normal caliber with normal signal intensity. No significant spinal canal stenosis is appreciated.C2-C3: Shallow disc-osteophyte complex and left more than right uncovertebral joint and facet arthropathy. There is mild left neural foramen narrowing. There is no significant spinal canal or right neural foraminal narrowing. These findings are unchanged.C3-C4: Disc osteophyte complex as well as uncovertebral and facet arthropathy result in moderate left and moderate to severe right progressive neural foraminal narrowing. There is also mild central canal narrowing.C4-C5: Disc osteophyte complex as well as uncovertebral and facet arthropathy result in moderate right and left neural foraminal narrowing. There is also mild central canal narrowing. These findings are unchanged.C5-C6: Disc osteophyte complex as well as uncovertebral and facet arthropathy result in moderate left and mild right neural foraminal narrowing. There is also mild central canal narrowing. These findings are unchanged.C6-C7: Shallow disc osteophyte complex as well as left more than right uncovertebral and facet arthropathy result in moderate-to-severe left and mild right neural foraminal narrowing. There is no significant central canal narrowing. These findings are unchanged.C7-T1: There is no significant disc herniation. There is uncovertebral and facet arthropathy resulting in moderate bilateral neural foraminal narrowing. There is also ligamenta flava thickening. These findings are unchanged.
1. Multilevel spondylosis of the cervical spine most severe at C3-C4 level where there is moderate left and moderate to severe right neuroforaminal stenosis, progressive since prior examination dated 10/2015.2. A new 0.4 cm lesion involving the T2 spinous process is suspicious for metastatic disease or myelogenous deposit.