Clinical question: Assess for left cervical radiculopathy. Signs and symptoms: Radicular pain in LUE. Nonenhanced cervical MRI:Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 demonstrate mild degenerative changes with resultant significant left and moderate right neural foraminal compromise and no central spinal stenosis. Interval progression since prior exam.C4-C5 demonstrate moderate disc disease and loss of disc height and mild bilateral facet and ligamentum flavum hypertrophy. No spinal stenosis however moderate bilateral neural foraminal compromise is present without significant change since prior exam.C5-C6 demonstrate moderate to advanced disc disease and loss of disc height and mild to moderate ligamentum flavum hypertrophy and mild facet disease. No spinal stenosis however moderate left and mild right neural foraminal compromise is present without significant change since prior exam.C6-C7 demonstrate moderate disc disease and loss of disc height, moderate bilateral ligamentum flavum hypertrophy and mild facet disease. No spinal stenosis however moderate right and mild to moderate left neural foraminal compromise is present. No significant change since prior exam.C7-T1 demonstrate mild disc disease and hypertrophic changes of posterior elements without spinal stenosis or neural foraminal compromise and is stable since prior study. Signal intensity and caliber of cervical and upper most visualized thoracic cord to T3 level is within normal
1.Degenerative changes of cervical spine with resultant multilevel neural foraminal compromise without significant change since prior exam. Please review detailed report per level above.2.No evidence of central spinal stenosis at any level.3.Normal signal intensity and caliber of cervical and upper most visualized thoracic cord.