Anesthesia of skin [R20.0] / Radiculopathy, cervical region [M54.12], Reason for Study: ^Reason: eval c-spine due to cervical radiculopathy on EMG History: numbness R RF AND SF, sudden in onset Examination is limited by motion artifact. There is straightening of the cervical spine with mild reversal of the cervical lordosis centered at C4-C5, but no spondylolisthesis. The vertebral body heights are grossly maintained, aside from mild multilevel degenerative endplate irregularities. There is significant developmental narrowing of the cervical spinal canal. The bone marrow signal is unremarkable. There is focal high T2 signal and atrophy of the spinal cord at C3-C4 level.C2-C3: No significant disc herniation or neural foraminal stenosis is noted at this level.C3-C4: There is a diffuse disc bulge and posterior disc osteophyte complex formation resulting in moderate bilateral neural foraminal stenosis and severe spinal stenosis.C4-C5: There is a minimal posterior disc osteophyte without significant neural foraminal stenosis at this level.C5-C6: There are small bilateral paracentral disc protrusions resulting in moderate left and mild right neural foraminal stenosis.C6-C7: There is a diffuse disc bulge/disc osteophyte complex resulting in moderate bilateral neural foraminal stenosis.C7-T1: There is a right paracentral disc protrusion resulting in moderate to severe right lateral recess and bilateral neural foraminal stenosis.
Diffuse developmental narrowing of the cervical spinal canal with superimposed disc degenerative spondylosis, resulting in myelomalacia of the spinal cord at C3-C4 and variable degrees of neural foraminal stenosis, particularly at C5 through C7 levels.