Chronic pain and numbness of the left upper extremity. Recent motor vehicle accident and left upper extremity thrombosis of the basilic vein in December 2014 per Epic notes. Assess for brachial plexopathy. There is no axillary lymphadenopathy. There are no signal abnormalities along the course of the left brachial plexus or neurovascular bundle or evidence of pseudomeningoceles. There is no abnormal enhancement or mass lesions. A limited evaluation of the cervical spine demonstrates mild reversal of lordosis at C4-C5, where there is a mild disc-osteophyte bulge that abuts the spinal cord. However, there is no spinal cord signal abnormality or significant spinal canal or neuroforaminal narrowing. In the remaining cervical spine, there is no significant spinal canal stenosis or neuroforaminal narrowing. The thyroid and salivary glands are unremarkable. There are no masses or significant lymphadenopathy identified. The cervical flow voids appear to be grossly intact, within the limits of technique.
1.Mild degenerative changes of the spine with a small disc-osteophyte complex at C4-5 that abuts the spinal cord. No spinal cord lesions, neural foramen stenoses, or mass lesions are apparent, however.2.No discernible evidence of left brachial plexopathy.3. The previously demonstrated venous thrombosis is not readily depicted, either due to interval resolution or technique, which is not optimized for the evaluation of vasculature. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.