Diagnosis: Mononeuritis of unspecified siteClinical question: evaluate for structural lesionsSigns and Symptoms: BUE numbness and tinglingComments: S/p spine surgeries with spine hardware Since the prior examination the patient is undergone cervical spine surgery with a left-sided laminoplasty is at C3, C4, C5 and C6.The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is disc desiccation and a diffuse disc bulge redemonstrated associated with hypertrophy partial effacement of spinal fluid ventral to the spinal cord. There is no compromise of the exiting nerve roots appreciated at this level. There is mild narrowing of the spinal canal at this level.At C3-4 there is disc desiccation and a diffuse disc bulge associated with the uncovertebral osteophytes bilaterally and narrowing of the neural foramina bilaterally with encroachment of exiting nerve roots.At C4-5 there is disc desiccation and a diffuse disc bulge associated with the uncovertebral osteophytes bilaterally and narrowing of the neural foramina bilaterally with encroachment of exiting nerve roots.At C5-6 there is disc desiccation and a diffuse disc bulge associated with the uncovertebral osteophytes bilaterally and narrowing of the neural foramina bilaterally with encroachment of exiting nerve roots.At C6-7 there is disc desiccation and a diffuse disc bulge associated with the uncovertebral osteophytes bilaterally and narrowing of the neural foramina bilaterally with encroachment of exiting nerve roots.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 partial opacification of the mastoid air cells present.
1.The patient is status post multilevel laminoplasty with the reduction of the prior spinal stenosis.2.There are degenerative changes present in the cervical spine with multilevel neural foramen encroachment due to degenerative changes.