Severe left arm pain and weakness, evaluate for radiculopathy. Hx of SLE Examination is limited by motion artifact. There is straightening of the cervical lordosis which may be positional. The vertebral bodies are aligned and the vertebral body heights are maintained. Multilevel anterior osteophyte formation is demonstrated, most prominent at C5 level. No worrisome focal marrow signal is identified. The intervertebral disc spaces are grossly maintained. There is developmental narrowing of the cervical spinal canal. The spinal cord is suboptimally evaluated secondary to motion artifact.C2-C3: There is hypertrophy of the ligamentum flavum, however otherwise no significant abnormality is appreciated.C3-C4: There is hypertrophy of the ligamentum flavum with small posterior disc osteophyte complex formation causing moderate central spinal and bilateral neuroforaminal stenosis.C4-C5: There is a small posterior disc osteophyte complex with hypertrophy of the ligamentum flavum and uncovertebral joints resulting in mild to moderate spinal canal and moderate bilateral neuroforaminal stenosis.C5-C6: Posterior disc osteophyte formation and hypertrophy of the ligamentum flavum result in moderate to severe left and moderate right neuroforaminal stenosis as well as mild to moderate central spinal stenosis.C6-C7: There is a posterior disc osteophyte complex with hypertrophy ligamentum flavum causing mild spinal canal stenosis without significant neuroforaminal stenosis.C7-T1: No significant disc herniation or neuroforaminal stenosis is noted at this level.
Limited examination secondary to artifact demonstrates multilevel spondylosis of the cervical spine with multilevel at least moderate grade central spinal stenosis predominantly on the basis of developmental narrowing.