Diagnosis: CervicalgiaClinical question: h/o MCV, evaluate for ligamentous injury to cervical spine 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. There is a small central disc protrusion present at this level.At C4-5 there is loss of disc space height, disc desiccation, endplate osteophytes and uncovertebral osteophytes associated with mild posterior ligamentous hypertrophy. There is effacement of the spinal fluid ventral and posterior the spinal cord at this level. There is a right paramedian disc protrusion present at this level which encroaches on the right hemicord and right-sided exiting nerve root at this level. Overall there is a mild to moderate degree of spinal stenosis at this level.At C5-6 there is loss of disc space height, disc desiccation, endplate and uncovertebral osteophytes and a disc bulge associated with some effacement of spinal fluid ventral and posterior the spinal cord and encroachment of the exiting nerve roots within the neural foramina bilaterally due to osteophytes and disc material.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 multilevel degenerative changes present in the cervical spine with mild to moderate spinal stenosis at C4-5 and C5-6 and encroachment of the right-sided exiting nerve roots at C4-5 and bilaterally at C5-6.