History of cervical disc: weakness to right hand. There is multilevel degenerative spondylosis as follows: C2-C3: There is no spinal canal or neural foraminal stenosis.C3-C4: There is no neural foraminal narrowing or spinal canal stenosis. C4-C5: There is no neural foraminal narrowing or spinal canal stenosis. C5-C6: There is uncovertebral hypertrophy with moderate to severe bilateral foraminal stenosis, left greater than right, but no significant spinal canal stenosis. C6-C7: There is uncovertebral hypertrophy with moderate to severe bilateral foraminal stenosis, but no significant spinal canal stenosis.C7-T1: There is a left lateral disc extrusion and uncovertebral hypertrophy with moderate to severe bilateral foraminal stenosis, but no significant spinal stenosis.There is an intravertebral disc herniation in the T1 superior endplate. There is diffuse high T2 and low T1 signal in the C7 and T1 vertebral bodies. The cervical vertebral column alignment is anatomic, without spondylolisthesis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Multilevel spondylosis, which is most pronounced at C5 though T1 in terms of neural foraminal compromise, with associated bone marrow edema in the C7 and T1 vertebrae, but no spinal cord compression.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.