58 years Female (DOB: 10/10/1957)Reason: stenosis? History: hyperreflexiaPROVIDER/ATTENDING NAME: THOMAS J. KELLY THOMAS J. KELLY 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. There is mild left-sided facet hypertrophy at this level.At C3-4 there is no significant compromise to the spinal canal . There is right-sided facet hypertrophy at this level associated with mild encroachment of the right-sided exiting nerve roots within the neural foramen..At C4-5 there is no significant compromise to the spinal canal. There is right-sided facet hypertrophy at this level associated with mild encroachment of the right-sided exiting nerve roots.At C5-6 there is loss of disc space height, diffuse disc bulge, endplate osteophytes and uncovertebral osteophytes associated with encroachment of the neural foramina bilaterally. Neural foraminal encroachment is worse on the left side where there is encroachment of the left-sided exiting nerve. There is partial effacement of spinal fluid ventral and posterior the spinal cord at this level with mild to moderate spinal stenosis.At C6-7 there is loss of disc space height and disc desiccation, endplate osteophyte formation and uncovertebral osteophytes with associated encroachment of the neural foramina bilaterally and encroachment of the exiting nerve roots bilaterally but worse on the right relative to the left side. There are some effacement of spinal fluid ventral to the spinal cord 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.
There are multilevel degenerative changes present in the cervical spine associated with encroachment of the right-sided exiting nerve roots at C6-7, left-sided exiting nerve roots at C5-6 due to uncovertebral osteophytes and disc material and some encroachment of right-sided exiting nerve roots at C4-5 due to facet hypertrophy. There is also mild to moderate spinal stenosis at C5-6 due to degenerative change.