Reason: R/O nerve root impingement on the L (?C7). Please compare to last MRI from 2013. History: Neck pain radiating to LUE Examination is motion degraded, particularly the axial T2 sequences. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is straightening of the cervical spinal curvature with minimal anterolisthesis of C4 on C5, which appears new, and minimal retrolisthesis of C6 on C7, which was present previously. Bone marrow signal is benign with small foci of T1 hyperintensity involving the inferior C5 and C6 endplates on a degenerative basis and similar to prior.The cervical spinal cord has grossly normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: Small disc osteophyte complex and uncovertebral hypertrophy contributes to up to moderate right-sided neural foraminal stenosis which appears worse. No spinal canal or left neural foraminal stenosis.C5-6: Disc osteophyte complex including bilateral uncovertebral hypertrophy with contact of the ventral cord. There is mild spinal canal stenosis at this level. There is severe left and moderate right neural foraminal stenosis.C6-C7: Disc osteophyte complex with bilateral uncovertebral hypertrophy. There is severe left and moderate to severe right neural foraminal stenosis. There is at most mild spinal canal stenosis.C7-T1: No 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.
1. Examination is motion degraded, particularly the axial T2-weighted sequence. There appears to be very mild overall progression of degenerative changes in the cervical spine compared to 2/15/2013. Again seen is severe left C5-C6 and left C6-C7 neural foraminal stenoses where there may be impingement of the left C6 and C7 nerve roots.2. Mild spinal canal narrowing at the C5-C6 and C6-C7 levels similar to prior. No high-grade spinal canal stenosis or cord signal abnormality. Additional details as above.