64 years Male (DOB:3/3/1952)Reason: hx cervical disc, eval for abnormality. History: Right arm pain, thumb numbnessPROVIDER/ATTENDING NAME: EDWIN RAMOS EDWIN RAMOS The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is straightening of the 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 right-sided uncovertebral osteophytes and a disc bulge at this level associated with encroachment of the right-sided exiting nerve roots. This has not changed significantly since prior exam. There is mild narrowing of the spinal canal at this level. At C4-5 there is no significant compromise to the spinal canal. There is a disc bulge present and uncovertebral osteophytes predominantly on the left side where there is encroachment of the left-sided exiting nerve roots. This was also present on the prior exam it appears to have slightly progressed.At C5-6 there is a disc bulge associated with uncovertebral osteophytes predominantly in the right side with encroachment of the nerve roots in the right neural foramen. There is mild narrowing of the left neural foramen at this level. These findings have not changed substantially compared the prior exam. Overall there is a mild to moderate degree of spinal stenosis at this levelAt C6-7 there are bilateral uncovertebral osteophytes present and a disc bulge associated with effacement of spinal fluid ventral and posterior the spinal cord. Overall is a moderate degree of spinal stenosis present at this level. These findings have not changed substantially compared the prior exam.At C7-T1 there are endplate uncovertebral osteophytes present associated with encroachment of the neural foramina bilaterally and encroachment of the exiting nerve rootsThe vertebral artery flow voids appear to be intact. The left vertebral artery is larger than the right vertebral artery.
There are multilevel degenerative changes present in the cervical spine with moderate spinal stenosis at C6-7 and neural foraminal encroachment of exiting nerve roots bilaterally at C6-7, on the right side at C5-6, on the left side at C4-5 and on the right-sided C3-4. There is mild to moderate spinal stenosis C5-6