63 years Female (DOB:1/26/1953)Reason: right arm pain History: right arm painPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. 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. There are right-sided uncovertebral osteophytes present at this level and some ligamentum flavum hypertrophy. There is encroachment of the exiting nerve roots within the right neural foramen at this level as a result of osteophyte formationAt C5-6 there is no significant compromise to the spinal canal. There is loss of disc space height, disc desiccation as well as endplate and uncovertebral osteophytes at this level with narrowing of the neural foramina bilaterally but worse on the right side where there is encroachment of the right-sided exiting nerve roots within the neural foramen.At C6-7 there is no significant compromise to the spinal canal. There is loss of disc space height, disc desiccation as well as endplate and uncovertebral osteophytes at this level with some narrowing of the neural foramina bilaterally.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The right vertebral artery appears very small and has very little intracranial contribution..
There are multilevel degenerative changes present in the cervical spine with encroachment of exiting nerve roots predominantly in the right side at C4-5 and C5-6 as a result of a degenerative changes.