Reason: bilateral arm numbness and tingling numbness to digits 2 3 4 on the left hand History: see above The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disk dessication. There is a sclerotic focus at C5 located posteroinferiorly.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 or neural foramina.At C5-6 there is loss of disk space height, disk bulge as well as endplate and uncovertebral osteophytes this level associated with narrowing of the neural foramina and encroachment of the exiting nerve root bilaterally. There is partial effacement of the spinal fluid ventral and posterior to the spinal cord at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a disk bulge at this level. There are endplate and uncovertebral osteophytes this level associated with narrowing of the neural foramina and encroachment of the exiting nerve roots left worse than right.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 degenerative changes in the cervical spine worse at C5-6 where there is neural foraminal narrowing and encroachment of exiting nerve roots and a mild degree of spinal stenosis.