61 years Female (DOB: 10/18/1954)Reason: Assess for progression of stenosis/cord impingement History: Neck painPROVIDER/ATTENDING NAME: DALIA H ELMOFTY DALIA H ELMOFTY 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. There is partial anterior fusion at T1-T2.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is mild hypertrophy of the ligamentum flavum at this level with mild narrowing of the spinal canal. Overall the patient's cervical spinal canal is small congenital basis.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge present at this level. There are some endplate reactive changes present which were also present to some degree on the previous exam. There is mild narrowing of the spinal canal at this level with partial effacement of spinal fluid ventral but not posterior to the spinal cord.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is mild loss of disc space height and disc desiccation at this level associated with a minor disc bulge. Since the prior exam a central disc protrusion at this level has regressedAt C5-6 there is no significant compromise to the spinal canal or neural foramina. There is redemonstration of a right paramedian disc extrusion at this level which partially effaces spinal fluid ventral to the right hemicord and minimally displaces the spinal cord. It is stable and compared to the previous exam. Disc material does extend into the right neural foramen at this level and mildly encroaches on the right-sided exiting nerve roots. There is some mild hypertrophy of the ligamentum flavumAt C6-7 there is no significant compromise to the spinal canal or neural foramina.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 is some mild degenerative changes present in the cervical spine with mild degrees of the encroachment of right-sided exiting nerve roots at C5-6 which are stable since the prior exam and a mild degree of spinal stenosis at C3-4 which is also stable since prior exam. 2.There are some subacute endplate reactive changes at C3-43.Since the prior exam a small disc protrusion at C4-5 has regressed.