Diagnosis: Carpal tunnel syndrome, right upper limb. Carpal tunnel syndrome, left upper limbClinical question: disk disease or post traumatic injurySigns and Symptoms: hand pain The cervical vertebral bodies are appropriate in overall height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. 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 or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is mild posterior subluxation of C5 on C6 associated with the diffuse disc bulge, disc desiccation, small central disc protrusion, endplate and uncovertebral osteophytes as well as mild ligamentum flavum hypertrophy. There is effacement of spinal fluid ventral and posterior to the spinal cord at this level and overall mild to moderate degree of spinal stenosis. There is encroachment of the exiting nerve roots within the neural foramina bilaterally due to combination of disc material and osteophytes.At C6-7 there is loss of disc space height, disc desiccation and a disc bulge associated with endplate and uncovertebral osteophytes and encroachment of the exiting nerve roots bilaterally. There is mild hypertrophy of the ligamentum flavum hypertrophy present. There is mild narrowing of the spinal canal 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 degenerative changes present in the cervical spine with mild to moderate spinal stenosis at C5-6 associated with mild subluxation as well as encroachment of exiting nerve roots bilaterally at C5-6 and C6-7.