Left upper extremity weakness/triceps, finger extension. Suspect C6 -- C7 foramina stenosis. CT of the cervical spine without the infusion:3-mm axial images of the entire cervical spine were obtained. Sagittal and coronal reformatted images were obtained.Reformatted images demonstrate straightening of cervical lordosis. This finding may be positional. Mild degenerative disk disease and shallow ventral hypertrophic spurs are noted.Foramina magnum.Examination of this level is unremarkable.C2 -- C3.No central spinal stenosis or neural foramina compromise. C3 -- C4.Minimal degenerative changes which appears to be more pronounced on the left. There is minimal sclerotic changes of the left uncovertebral and articulating facet on the left (axial image 37). The left neural foramina appears slightly smaller than the right and is believed to be partially compromised.C4 -- C5.No central spinal stenosis or neural foramina compromise. Very minimal hypertrophic and sclerotic changes of the left uncovertebral on axial image 42. The left neural foramina appears minimally smaller than the right. This finding was also noted on prior MRI examination on axial T2 weighted image 15.C4 -- C5.Minimal degenerative changes. The left neural foramina appears minimally smaller than the right secondary to hypertrophic changes.C5 -- C6.Degenerative disk disease and hypertrophic changes of the posterior elements are noted. There is evidence of hypertrophic changes of bilateral uncovertebral with resultant compromise of bilateral neural foramina. This finding was also appreciated on axial T2-weighted image 23 of prior MRI of cervical spine. Large anteriorly located hypertrophic spurs at this level projects into the soft tissues of the prevertebral space. Reformatted images demonstrate a shallow ventral hypertrophic spur with minimal bulge of disk material. Review of prior MRI examination demonstrates no central spinal stenosis at this level.C6 -- C7.Mild degenerative disk disease and minimal hypertrophic changes of posterior elements. There is compromise of bilateral neural foramina secondary to above changes. This finding may be slightly more pronounced on the left. These findings were noted also on prior MRI examination cervical spine on axial T2-weighted image 27. No central spinal stenosis.C7 -- T1.Minimal asymmetrical hypertrophy changes on the left is suspected on axial image 57. This includes hypertrophied and minimally calcified ligamentum flavum on the left. Minimal compromise of the left neural foramina is suspected.
1.Degenerative changes of cervical spine with multilevel neural foramina compromise as detailed above.2.Prior MRI examination of cervical spine is also reviewed which shows similar findings as described above. 