Reason: ?cervical radiculopathy History: pain in axilla and shoulder. Per technologist note patient has right-sided neck pain radiating down the right shoulder and arm. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Minimal disc bulge. No significant compromise to the spinal canal or neural foramina.C4-5: Mild disc bulge and mild right-sided uncovertebral hypertrophy. No significant compromise to the spinal canal or neural foramina.C5-6: Small disc osteophyte complex with right greater than left uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is mild to moderate right neural foraminal stenosis. No significant left neural foraminal narrowing. C6-7: Small central disc extrusion without significant narrowing of the spinal canal. There is possible small amount of disc material in the right neural foramen, as seen on sagittal oblique sequence series 9 image 5 of 11. There is uncovertebral hypertrophy on the right. There is mild to moderate neural foraminal stenosis at this level. No significant left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or right neural foramen. Mild left neural foraminal narrowing.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Secretions noted within the trachea. Partial opacification of the right mastoid air cells also noted.
1. Multilevel degenerative changes in the cervical spine. There is mild to moderate right C5-C6 and right C6-C7 neural foraminal stenosis which may be affecting the C6 and C7 nerve roots. Please see details above. 2. No significant spinal canal stenosis in the cervical spine.