Diagnosis: CervicalgiaClinical question: radiculopathySigns and Symptoms: pain The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.There is ill-defined T2 signal hyperintensity and T1 signal hypointensity within the C6 vertebral body centered anteriorly.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.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is a fairly large right lateral recess disc extrusion present with disc material extending into the ventral aspect of the spinal canal. It is centered in the right hemicanal where it compresses the thecal sac as well as the nerve roots at the right lateral recess. Disc material extends across the midline and effaces spinal fluid ventral to the spinal cord. Some disc material tracks behind the C6 vertebral body and effaces CSF space ventral to the spinal cord at the C6 vertebral body level. A small amount of disc material also extends behind the lower and right aspect of the C5 vertebral body especially at the right lateral recess. Overall there is a moderate degree of spinal stenosis present at this level. There is also encroachment of the right-sided exiting nerve roots within the right lateral recess and neural foramen at C5-6.At C6-7 there is a disc bulge present associated with mild narrowing of the neural foramina - right side more than left.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 is a large disc extrusion present at the C5-6 level which extends behind the C6 and to a lesser degree C5 vertebral bodies along the right hemicanal which encroaches on the right-sided exiting nerve roots at C5-6 and also creates spinal stenosis at the C5-6 level and the C6 vertebral body level.2.Signal changes within the C6 vertebral body can be explained on the basis of reaction to the patient's disc extrusion.3.There is a disc bulge at C6-7 which mildly encroaches on the exiting nerve roots (right worse than left)