Diagnosis: CervicalgiaClinical question: SUSPICION FOR NUEROVASCULR COMPRESSIONSigns and Symptoms: NECK PAIN The cervical vertebral bodies are appropriate in overall alignment and height. The patient is status post anterior fusion of C4-C7 with anterior plate and screws from C4 to C7anterior vertebral bodies. and bone graft placement along the C4-C6 vertebral bodies and partial vertebrectomies of C4 and C5. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is diffuse disk bulge, disk dessication and posterior ligamentous hypertrophy associated with spinal stenosis and bilateral neural foramen encroachment of exiting nerve roots. This is new since the prior examAt C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal . There is encroachment of exiting nerve roots on the right side due to uncovertebral osteophytes. This was also present in the 2009 exam.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Status post anterior cervical spine surgery as described above from C4 to C7.2.Spinal stenosis and neural foramen encroachment of exiting nerve roots at C3-4 due to degenerative changes.3.Encroachment of right sided exiting nerve roots at C6-7 due to degenerative changes.