Diagnosis: CervicalgiaClinical question: evaluate for degenerative change, disk herniationSigns and Symptoms: neck and L shoulder pain, radicular The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is mild reversal of normal cervical curvature present. 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. There are small left-sided endplate and uncovertebral osteophytes present associated with some disc material and mild encroachment of left-sided exiting nerve roots.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a small central disc protrusion present at this level. There is partial effacement of spinal fluid ventral to the spinal cord at this level. Overall there is a mild degree of spinal stenosis at this level.At C5-6 there is no significant compromise to the neural foramina. There is a disc bulge present at this level as well as some very small uncovertebral osteophytes. There are some mild posterior ligamentous hypertrophy at this level Overall there is a mild to moderate degree of spinal stenosis at this level. There is partial effacement of spinal fluid ventricle. There is loss of disc space height at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this There is loss of disc space height 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.
1.There are multilevel degenerative changes present in the cervical spine with a mild to moderate degree of spinal stenosis at C5-6.