Evaluate for radiculopathy: left neck pain radiating into little finger. Lupus. There is multilevel degenerative spondylosis, including prominent anterior disc-osteophyte complexes at C4-5 and C5-6, but no significant spinal canal or neural foraminal stenosis at any of the cervical spine levels. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no evidence of cervical spine tumors or abnormal enhancement. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are several cystic nodules in the bilateral parotid glands.
1. No evidence of significant spinal canal or neural foraminal stenosis in the cervical spine.2. No evidence of spinal cord lesions or cervical spine tumors.3. Several cystic nodules in the bilateral parotid glands may represent benign lymphoepithelial cysts or may be related to lupus, for example. Follow up with dedicated imaging may nevertheless be useful.