56 years Male (DOB:11/17/1959)Reason: Patient with recurrent left sided neck and upper chest pain. Rule out cervical radiculopathy. History: Left sided neck and upper chest pain.PROVIDER/ATTENDING NAME: ELBERT S. HUANG ELBERT S. HUANG 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 multilevel disc desiccation present.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge present at this level.At C3-4 there is a small central disc protrusion present at this level which impresses on the ventral aspect of thecal sac and effaces spinal fluid ventral and posterior the spinal cord. Mild degree of spinal stenosis.At C4-5 there is a left paramedian disc extrusion present with disc material extending behind the adjacent endplate. This disc extrusion effaces spinal fluid ventral to the left hemicord and mildly displaces and compresses the left hemicord. There is a high signal focus on T2-weighted imaging within this disc extrusion.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a small right paramedian disc protrusion present 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.There is opacification of left mastoid air cells.
1.There is a mild to moderate degree of spinal stenosis present at C3-4 related to a central disc protrusion.2.There are some encroachment of the left hemicord at the C4-5 level related to a small disc extrusion.3.There is opacification of the left mastoid air cells which are incompletely visualized on this exam.