Diagnosis: Other musculoskeletal symptoms referable to limbs(729.89)Other musculoskeletal symptoms referable to limbs(729.89)Clinical question: Evaluate for cervical spondylosis or myelopathy in patient with spinal stenosisSigns and Symptoms: worsening upper and lower extremity weakness The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.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 is loss of disc space height and disc desiccation at this level. There are bilateral uncovertebral osteophytes present at this level associated with some posterior ligamentous hypertrophy and some endplate osteophytes. There are endplate reactive changes at this level which are bright on T1. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level. Overall there is a very mild degree of spinal stenosis at this level.At C4-5 there is no significant compromise to the spinal canal. There is loss of disc space height and disc desiccation at this level. There are bilateral uncovertebral osteophytes present at this level associated with some endplate osteophytes. There are endplate reactive changes at this level which are bright on T1. There is mild encroachment of the exiting nerve roots within the left neural foramen at this level.At C5-6 there is no significant compromise to the spinal canal. There is loss of disc space height and disc desiccation at this level. There are bilateral uncovertebral osteophytes present at this level associated with some posterior ligamentous hypertrophy and some endplate osteophytes. There are endplate reactive changes at this level which are bright on T1. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level. At C6-7 there is no significant compromise to the spinal canal. There is loss of disc space height and disc desiccation at this level. There are bilateral uncovertebral osteophytes present at this level associated with some posterior ligamentous hypertrophy and some endplate osteophytes. There are endplate reactive changes at this level which are bright on T1. There is mild encroachment of the exiting nerve roots within the left neural foramen. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is some disc desiccation and posterior ligamentous hypertrophy at this level.The vertebral artery flow voids appear to be intact.
1.There are multilevel degenerative changes present in the cervical spine without any significant spinal stenosis as detailed above. There is neural foraminal encroachment of exiting nerve roots bilaterally at C5-6 and C3-4 as detailed above.