70 years Female (DOB: 6/19/1946)Reason: R/O C5/C6 root impingement History: Neck pain radiating to the LUEPROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is straightening of the normal cervical curvature which could be related to muscle spasm or patient positioning.At C2-3 there is no significant compromise to the spinal canal. There are right-sided uncovertebral osteophytes present this level associated with encroachment of the nerve roots in the right neural foramen.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge present at this level.At C4-5 there is no significant compromise to the spinal canal. There is left-sided facet hypertrophy present at this level associated with small uncovertebral osteophytes bilaterally. There is encroachment of the left-sided exiting nerve roots within the neural foramen at this level.At C5-6 there are endplate and uncovertebral osteophytes present at this level associated with a disc bulge and encroachment of the exiting nerve roots within the neural foramina bilaterally. There is partial effacement of spinal fluid ventral and posterior the spinal cord at this level with overall mild degree of spinal stenosis.At C6-7 there is no significant compromise to the spinal canal. There are endplate uncovertebral osteophytes present this level associated with disc material and encroachment of the left-sided exiting nerve roots within the neural foramen.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 resulting in neural foramen encroachment of exiting nerve roots on the left side at C4-5, bilaterally at C5-6 and on the left side at C6-7 with lesser degrees of neural foraminal encroachment at other levels. There is a mild degree of spinal stenosis present at C5-6 due to degenerative changes.