h/o L hand weakness and cervical radiculopathy on EMG; eval for disc The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is reversal of the normal cervical curvature present as well as multilevel disc desiccation and loss of disc space height predominantly at C4-5, C5-6 and C6-7.There are signal changes present within the C7 and C6 vertebral bodies which given the degenerative changes are most likely degenerative in nature and represent inflammatory change..At C2-3 there is no significant compromise to the spinal canal. There is left-sided facet hypertrophy at this level associated with encroachment of the left-sided exiting nerve roots.At C3-4 there is no significant compromise to the spinal canal. There is mild left-sided facet hypertrophy at this level. There is a small left-sided lateral disc protrusion at this level which mildly encroaches on the left-sided exiting nerve root within the neural foramen.At C4-5 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present associated with a diffuse disc bulge. There is bilateral neural foramen encroachment of exiting nerve roots at this level.At C5-6 there is loss of disc space height, disc desiccation, endplate and uncovertebral osteophytes as well as posterior ligamentous hypertrophy. There is effacement of spinal fluid ventral and posterior to the spinal cord at this level and encroachment of the neural foramina. The encroachment is worse on the left when compared to the right side and is related to a combination of osteophytes and disc material. Overall there is moderate spinal stenosis at this level.At C6-7 there is loss of disc space height, diffuse disc bulge and small uncovertebral osteophytes associated with encroachment of the neural foramina bilaterally and effacement of spinal fluid ventral and posterior to the spinal cord. Overall there is moderate spinal stenosis 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 associated with moderate degrees of spinal stenosis at C5-6 and C6-7 and multilevel neural foramen encroachment of exiting nerve roots as detailed above.