59 years Female (DOB: 10/20/1956)Reason: spinal cord impingement History: RUE tingling/ numbness and R neck painPROVIDER/ATTENDING NAME: JAMES J WALTER JAMES J WALTER 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. The exam is degraded by patient motion.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is loss of disc space height, desiccation and diffuse disc bulge associated with bilateral uncovertebral osteophytes. There is associated narrowing of the neural foramina on the right side more than the left. There is encroachment of the right-sided exiting nerve roots present. There is effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is a mild to moderate degree of spinal stenosis at this level.At C5-6 there is loss of disc space height, disc desiccation and a disc bulge. There are some encroachment of the right-sided exiting nerve roots at this level. There is no significant compromise to the spinal canal at this level. Overall there is a mild degree of spinal stenosis at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge present at this level. There is mild narrowing of the spinal canal at this level.At 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 cervical spine with encroachment of right-sided exiting nerve roots at C4-5 and C5-6 and mild to moderate spinal stenosis at C4-5..2.Exam is degraded due to patient motion which may obscure more subtle abnormalities especially if there are intrinsic abnormalities within the spinal cord.