Diagnosis: Brachial neuritis or radiculitis NOSClinical question: cervical radiculopathySigns and Symptoms: pain, numbness tingling in R arm The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disc desiccation present.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 or neural foramina. There are small uncovertebral osteophytes present at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height, diffuse disc bulge and endplate and uncovertebral osteophytes associated with narrowing of the neural foramina bilaterally. Overall there is no significant change compared to the previous examAt C5-6 there is no significant compromise to the spinal canal . There are bilateral uncovertebral osteophytes present at this level associated with disc material and encroachment of the exiting nerve roots within the neural foramina bilaterally. Overall this remains stable compared to the previous exam.At C6-7 there is no significant compromise to the spinal canal . Since the prior exam patient has developed the right lateral recess disc protrusion at this level associated with encroachment of the right-sided exiting nerve roots within the neural foramina. Additionally the patient has developed a smaller left lateral recess disc protrusion at this level which mildly encroaches on the left-sided exiting nerve roots.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.Since the previous exam the patient has developed new disc protrusions at C6-7 right worse than left where there is encroachment of now of the right-sided exiting nerve roots .2.There is redemonstration and no change in degenerative changes present at C3-4, C4-5 and C5-6 with bilateral encroachment of exiting nerve roots at C5-6 as well as narrowing of the neural foramina at C4-5 and C3-4