Cervical radiculopathy. Pain in neck and right arm. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is marked disc space narrowing at C3-4 and moderate disc space narrowing at C4-5 and C5-6. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable, but there is suggestion of thyroid nodules. Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is no neuroforaminal narrowing or spinal stenosis. C3-C4: There is a posterior disc osteophyte complex and uncovertebral hypertrophy with severe spinal canal stenosis and impingement upon the spinal cord, with increased T2 signal in the spinal cord at this level. There is also moderate to severe bilateral neural foraminal narrowing.C4-C5: There is a posterior disc osteophyte complex and uncovertebral hypertrophy with indentation of the spinal cord. There is also moderate to severe left and moderate right neural foraminal narrowing. C5-C6: There is a posterior disc osteophyte complex and uncovertebral hypertrophy with slight impingement upon the spinal cord. There is also severe right and moderate to severe left neural foraminal narrowing. C6-C7 and C7-T1: There is no neuroforaminal narrowing or spinal stenosis.
1. Multilevel spondylosis with considerable spinal stenosis bilateral foraminal narrowing at C3-4 through C5-6, with associated myelomalacia or edema at the C3-4 level.2. Suggestion of thyroid nodules. Thyroid ultrasound may be useful for further evaluation, if needed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.