63 years Female (DOB:5/27/1953)Reason: Cervical spondylosis History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is reversal of the normal cervical curvature present. There is an 11 mm T1 hyperintense lesion within the T3 vertebral body most likely representing a vertebral body hemangioma.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is a small central disc protrusion present associated with endplate osteophytes and uncovertebral osteophytes. There is effacement of spinal fluid ventral to the spinal cord and some mild deformity of the spinal cord at this level. This appears to have progressed. Overall there is a mild to moderate degree of spinal stenosis at this level and mild encroachment of exiting nerve rootAt C4-5 there is loss of disc space height, disc desiccation, diffuse disc bulge, endplate and uncovertebral osteophytes associated with effacement of spinal fluid ventral and posterior the spinal cord and mild flattening of the spinal cord. There is bilateral encroachment of exiting nerve roots at this level within the neural foramina due to osteophytes and disc material. This has progressed since 2009 but is not changed substantially since October 2014. Overall there is moderate spinal stenosis at this level.At C5-6 there is loss of disc space height, disc desiccation, diffuse disc bulge, endplate and uncovertebral osteophytes associated with effacement of spinal fluid ventral and posterior the spinal cord and mild flattening of the spinal cord. There is bilateral encroachment of exiting nerve roots at this level within the neural foramina due to osteophytes and disc material. This has progressed since 2009 but is not changed substantially since October 2014. Overall there is moderate spinal stenosis at this level. There is bilateral encroachment of exiting nerve roots within the neural foramina at this level.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 moderate spinal stenosis at C4-5 and C5-6 and mild to moderate spinal stenosis at the C3-4. There is bilateral encroachment of exiting nerve roots at the C3-4, C4-5 and C5-6. Since 2014 there has been some mild progression at C3-4 relative stability at C5-6 and C4-5. Over the years since 2009 there is been some slow overall progression at these levels.