68-year-old female with finger numbness now with worsening arm pain on the right.Additional EMR Data: PMH of lumbar DDD with recent LESI and still without relief of lumbar radicular pain. Main complaint is R>L sharp neck and shoulder pain for 3 days without an inciting event which radiates into right arm to the fingers and down left arm to the elbow. Occasional numbness of the right fingers. No UE weakness. No apparent alleviating or aggravating factors. The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained and the cervical vertebral bodies and disc spaces are appropriate in height. The bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: Trace central disc osteophyte complex without significant compromise to the spinal canal or neural foramina.C3-4: Small central disc osteophyte complex with mild-to-moderate bilateral neuroforaminal narrowing and mild to moderate spinal canal stenosis, which have progressed compared to the prior exam C4-5: Small left paracentral disc osteophyte complex with mild bilateral neuroforaminal stenosis and moderate left greater than right spinal canal stenosis, appearing similar to the prior exam. C5-6: Disc osteophyte complex with a small left paracentral disc protrusion, with facet and uncovertebral hypertrophy which contributes to moderate to severe right and severe left neural foraminal narrowing and mild spinal canal stenosis. This appears similar to the prior exam. C6-7: Central disc osteophyte complex, uncovertebral hypertrophy and facet arthropathy which contributes to mild bilateral neuroforaminal stenosis and minimal spinal canal stenosis but this is not significant changed.C7-T1: Trace disc osteophyte complex without significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Incidental right thyroid nodule is nonspecific.
Multilevel spondylosis with some progression at C3-4 compared to the prior exam where there is now mild-to-moderate bilateral neuroforaminal narrowing and mild to moderate spinal canal stenosis. The remainder of the degenerative findings are unchanged compared to the prior exam.