Reason: evaluate for traumatic injury of cervical spinal cord History: right arm weakness, tingling, neck pain 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 no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal. There are left-sided uncovertebral osteophytes associated with the left-sided facet hypertrophy at this level and encroachment of the left-sided exiting nerve root. There is mild narrowing of the right neural foramen at this level as a result of disk material and uncovertebral osteophytes. This level is unchanged since the prior exam.At C4-5 there is no significant compromise to the spinal canal. There are endplate reactive changes at this level which were also present on the prior exam but has evolved and are now mostly in a chronic stage. There are uncovertebral osteophytes present at this level and some endplate osteophytes as well some posterior ligamentous hypertrophy. There is a uncovertebral osteophyte formation bilaterally right more than left with bilateral encroachment of the exiting nerve roots. Compared to previous exam the degree of exiting nerve root encroachment as mildly progressed.At C5-6 there is no significant compromise to the spinal canal. There are endplate and uncovertebral osteophytes at this level associated with posterior ligamentous hypertrophy and encroachment of the exiting nerve roots within the neural foramina. These findings were also present on the previous exam and have not progressed substantially.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is some small uncovertebral osteophytes at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Examination is mildly degraded on the axial imaging due to some patient motion
1.There are multilevel degenerative changes present in the cervical spine which demonstrates little progression and compared to the 2013 exam. Degenerative changes at C4-5 appear to be in a more chronic stage and there is slightly more encroachment of the exiting nerve roots at this level. There continues to be encroachment of exiting nerve roots on the left-sided C3-4 and at C5-6 as detailed above. There is no evidence for spinal stenosis.