52 years Male (DOB: 6/2/1963) PROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is T2 signal hyperintensity along the right hemicord at the C7-T1 level.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with ligamentum flavum hypertrophy. There are uncovertebral osteophytes present at this level bilaterally. There is associated effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is moderate spinal stenosis at this level. There is associated mild encroachment of the exiting nerve roots bilaterally at this level. There are mild endplate reactive changes at this level.At C4-5 there is loss of disc space height, disc desiccation and diffuse disc bulge. There are small uncovertebral osteophytes present at this level bilaterally. There is associated effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is mild to moderate spinal stenosis at this level. There is associated moderate encroachment of the exiting nerve roots bilaterally at this level . There are mild endplate reactive changes at this level.At C5-6 there is loss of disc space height, disc desiccation and diffuse disc bulge. There are uncovertebral osteophytes present at this level associated with disc material bilaterally. There is associated partial effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is mild spinal stenosis at this level. There is associated moderate encroachment of the exiting nerve roots bilaterally at this level .At C6-7 there is loss of disc space height, disc desiccation and diffuse disc bulge. There are uncovertebral osteophytes present at this level associated with disc material bilaterally. There is associated partial effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is mild spinal stenosis at this level. There is associated moderate encroachment of the exiting nerve roots bilaterally at this level .At C7-T1 there is loss of disc space height, disc desiccation and diffuse disc bulge. There are uncovertebral osteophytes present at this level associated with disc material bilaterally. There is associated partial effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is mild spinal stenosis at this level. There is associated moderate encroachment of the exiting nerve roots on the right side more than the left at this level . There are endplate reactive changes at this level which are high signal on T2 and inversion recovery imaging.The vertebral artery flow voids appear to be intact.
1.There are multilevel degenerative changes present in the cervical spine with moderate spinal stenosis at C3-4 and milder degrees of spinal stenosis at the levels below that as detailed above. There is additional encroachment of exiting nerve roots bilaterally at C4-5, C5-6, C6-7 and C7-T1.2.There is spinal cord lesion present on the right hemicord at the C7-T1 level. This could represent myelomalacia. Demyelination may have a similar appearance