51 years Male (DOB: 12/10/1964)Reason: r/o herniated disk left side History: pain radiating to left shouldPROVIDER/ATTENDING NAME: SCOTT STERN SCOTT STERN The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.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. Small endplate osteophytes are present at this level.At C5-6 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina and encroachment of the exiting nerve roots. This appears relatively stable compared to the prior exam.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There are bilateral uncovertebral osteophytes present this level associated with disc material and some encroachment of the right-sided exiting nerve roots at this level. This appears to have mildly progressed when compared to the previous examAt 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 encroachment of exiting nerve roots at C5-6 bilaterally which has not progressed significantly since prior exam. This is worse on the left compared to the right side.2.Since the prior exam the patient is developed some encroachment of right-sided exiting nerve roots at C6-7.