Cervical spinal stenosis. C6 -- C7 stenosis. Left arm pain. CT of cervical spine without infusion:Sagittal reformatted images demonstrate moderate to advanced degenerative disk disease at C5 -- C6 and C6 -- C7 levels as well as hypertrophic and calcification of posterior longitudinal ligament and to a lesser degree degenerative changes of disks at the other levels.There is complete loss of cervical lordosis. There is straightening and minimal kyphotic deformity of the cervical spine centered at C4 -- C5 level. The bony density of the vertebral column is unremarkable with the exception of sclerotic changes related to disk disease.Foramen magnum.Examination at this level is unremarkable.C2 -- C3.Minimal degenerative disk disease is noted and otherwise unremarkable.C3 -- C4.Minimal degenerative disk disease and minimal hypertrophic changes of the articulating facets on the left. Hypertrophic changes at the level of the left uncovertebral is also present. Combination of a bald changes causes compromise of the left neuroforamina at this level.C4 -- C5.Calcification of posterior longitudinal ligament posterior to C4 is present. This causes indentation of thecal sac. There is mild hypertrophic changes of disks and posterior elements. Hypertrophic changes at the level of right uncovertebral causes compromise of right neural foramina. There is broad-based bulge of disk material which minimally flattens the ventral thecal sac. There is also suspected compromise of the left neural foramina secondary to degenerative changes.C5 -- C6.Heavy calcification of posterior longitudinal ligament which is in contact with the ventral aspect of the cord. Extensive hypertrophic changes of uncovertebral causes compromise of bilateral neural foramina. Bulge of disk material and ventral hypertrophic changes appear to do cause indentation of the ventral aspect of the cord and suspected central spinal stenosis.C6 -- C7.Advanced degenerative disk disease and extensive hypertrophic changes of uncovertebral bilaterally. Compromise of bilateral neural foramina. I suspect central spinal stenosis at this level however please reviewed dedicated report of MRI examination of cervical spine. C7 -- T1.Mild degenerative changes. No detectable central spinal stenosis or neural foramina compromise.limited view of upper thoracic spine to T4 level demonstrate normal degenerative changes and is otherwise unremarkable.
Degenerative changes of disks, posterior elements, posterior longitudinal ligament as detailed above. Constellation of above findings results in multilevel neural frontal compromise and central spinal stenosis as detailed.