Patient with intermittent right greater than left arm and forearm pain, wrist pain and intermittent paresthesias of the both hands, right greater than left and intermittent neck pain, evaluate for cervical disc disease and nerve impingement. Alignment is anatomic. Vertebral body heights and intervertebral disc spaces are preserved. No cord signal abnormality is identified. No significant abnormalities noted in the paraspinal soft tissues. Bone marrow signal is benign.Individual levels as below:C2-C3: No significant spinal canal or neural foraminal stenosis.C3-C4: No significant spinal canal or neural foraminal stenosis.C4-C5: No significant spinal canal or neural foraminal stenosis.C5-C6: No significant spinal canal or neural foraminal stenosis.C6-C7:There is small left foraminal disc protrusion with minimal narrowing of the left neural foramen. No spinal canal or right neural foraminal stenosis. C7-T1: No significant spinal canal or neural foraminal stenosis.T1-T2: No significant spinal canal or neural foraminal stenosis.
Small left foraminal C6-C7 disc protrusion with minimal narrowing of the left neural foramen. There is otherwise no significant disc disease, spinal canal, or neural foraminal stenosis in the cervical spine. No cord signal abnormality.