66 years Male (DOB:3/25/1950)Reason: Hx of colon cancer, pain in neck, radiating to arm and numbness in hands History: Hx of colon cancer, pain in neck, radiating to Arm and numbness in handsPROVIDER/ATTENDING NAME: MARK F KOZLOFF MARK F KOZLOFF The cervical vertebral bodies are appropriate in overall height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is multilevel disc desiccation presentAt C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is loss of disc space height this desiccation and diffuse disc bulge associated with endplate reactive changes as well as endplate and uncovertebral osteophytes and ligamentum flavum hypertrophy. There is effacement of the spinal fluid surrounding the spinal cord at this level resulting in the mild to moderate degree of spinal stenosis. There is narrowing of the neural foramina bilaterally at this level with encroachment of the left exiting nerve roots within the neural foramina bilaterally. There is mild posterior subluxation of C3 on C4. These findings are stable compared to the prior examAt C4-5 there is no significant compromise to the spinal canal. There is bilateral facet hypertrophy at this level which is worse on the left compared to the right side. There are small uncovertebral osteophytes at this level. There is narrowing of the neural foramina with encroachment of the exiting nerve roots bilaterally at this level. These findings are stable relative to the prior examAt C5-6 there is no significant compromise to the spinal canal or neural foramina.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. There are endplate and uncovertebral osteophytes at this level associated with loss of disc space height and a disc bulge and bilateral uncovertebral osteophytes. There is narrowing of the neural foramina bilaterally at this level with encroachment of the exiting nerve roots within the neural foramen bilaterally. There are endplate reactive changes at this level which are hyperintense on T2, hypointense on T1 and enhance following gadolinium and administration. The subacute endplate reactive changes were not present on the prior exam.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 C3-4 and encroachment of exiting nerve roots bilaterally at C3-4, on the left-sided C4-5 and bilaterally at C7-T1. Since the prior exam subacute endplate reactive changes have developed at C7-T1.2.No evidence for metastases to the cervical spine.