Diagnosis: Pain in limbClinical question: LE painSigns and Symptoms: LE pain Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is straightening of the normal cervical curvature. There is multilevel disc desiccation present.No abnormal enhancing lesions are appreciated in the cervical spine.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 minor disc bulge present at this level with very mild narrowing of the right neural foramenAt C4-5 there is no significant compromise to the spinal canal. There are endplate and uncovertebral osteophytes present this level associated with a disc bulge and partial effacement of spinal fluid ventral and posterior the spinal cord. There is narrowing of the neural foramina bilaterally with some encroachment of the right-sided exiting nerve roots. Overall there is a mild degree of spinal stenosis at this level. There are some endplate reactive changes present at this level.At C5-6 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present at this level with some mild narrowing of the neural foramina worse on the right than the left side. There is a disc bulge at this level. There are some endplate reactive changes present at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge and some endplate osteophytes at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The right vertebral artery is very small.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are appreciated in the thoracic spine.There are some mild degenerative changes present in the cervical spine with multilevel disc desiccation and a minor disc bulge at T9-10 which affects the left neural foramen.
1.There are multilevel degenerative changes present in the cervical spine with encroachment of right-sided exiting nerve roots within the neural foramina at C4-5 and C5-6 as described above.2.There are minimal degenerative changes in the thoracic spine without compromise to spinal canal or exiting nerve roots.3.No abnormal lesion is appreciated within the cervical or thoracic spinal cords.