Reason: Evaluate for progression; stenosis History: neck pain; paresthesias The cervical vertebral bodies are appropriate in overall alignment and height. There is some signal change within the upper thoracic spinal cord and lower cervical spine spinal cord which was also present on the prior exam. It predominantly involves the central portion of the spinal cord.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.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a disk bulge present at this level associated with small uncovertebral osteophytes.At C5-6 there is no significant compromise to the spinal canal. There is a minor disk bulge present at this level associated with some small endplate and uncovertebral osteophytes and some narrowing of the neural foramina bilaterally with mild encroachment of the exiting nerve roots. Overall there is no significant change when compared to prior exam.At C6-7 there is no significant compromise to the spinal canal . There is a minor disk bulge present at this level associated with some small endplate and uncovertebral osteophytes.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.Single changes within the central portion of the lower cervical spinal cord and upper thoracic spinal cord are stable when compared to the prior exam.2.There some mild degenerative changes present in the cervical spine without significant compromise of the spinal canal or exiting nerve roots. There only mild encroachment of the exiting nerve roots at C5-6 due to degenerative changes.