Diagnosis: Neuralgia and neuritis, unspecified Unspecified disturbances of skin sensationClinical question: assess for cervical radiculopathySigns and Symptoms: neck pain, often radicular Cervical spine: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. There is mild disc desiccation present at this level.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.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. Straightening of the normal cervical curvature could be related to patient positioning or muscle spasm.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina. There are Schmorl's nodes at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation present and a mild disc bulge at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There is no compromise to the spinal canal or exiting nerve roots. There are mild degenerative changes present in the cervical and lumbar spines