Cervicalgia [723.1] / Cervical spondylosis without myelopathy [721.0] / Brachial neuritis or radiculitis NOS [723.4], Reason for Study: ^Reason: History of neck, pain failed conservative treatment History: diffuse spondylosis, neck pain, radiculopathy. C-Spine:The cranial-cervical junction is normal. There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing or myelopathy. There are minimal bulging of discs at the level of C45, 56 and 67 without evidence of spinal canal stenosis or neuroforaminal stenosis.T-Spine:There is normal thoracic kyphosis.The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. T45 disc shows focal central protrusion which abuts thecal sac.No neuroforaminal stenosis is seen.L-Spine:There is normal lumbar lordosis.The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: Disc desiccation, no neuroforaminal narrowing or spinal stenosis. L1-L2: There is central to left broad-based disc protrusion which abuts thecal sac, however, no neuroforaminal narrowing or spinal stenosis. L2-L3: Disc desiccation. There is a broad-based disc bulging with a focal disc protrusion central to right which narrows right side lateral recess. Degenerative changes of bilateral facet joints. No evidence of spinal stenosis. L3-L4: Diffuse bulging of disc with disc desiccation. Facet joint fluid collections indicating facet arthritis with ligamentum flavum thickening. No neuroforaminal narrowing or spinal stenosis. L4-L5: Diffuse bulging of disc with bilateral ligamentum flavum thickening causing minimal spinal canal stenosis. Associated bilateral facet arthritis were seen. No neuroforaminal narrowing. L5-S1: Disc desiccation with minimal bulging of disc. No neuroforaminal narrowing or spinal stenosis.
1. No evidence of spinal cord signal abnormality.2. Minimal bulging of cervical spine discs from C45 to C67 without evidence of spinal canal stenosis or neuroforaminal stenosis.3. Focal disc protrusion at the level of T45.4. Multiple degenerative disc disease of lumbar spine as described above.