76 years Female (DOB: 6/17/1940)Reason: etiology of progressive R sided radiuclopathic arm/hand pain History: R sided paresthesia, painPROVIDER/ATTENDING NAME: DIONNE J. BLACKMAN DIONNE J. BLACKMAN The cervical vertebral bodies are appropriate in overall 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.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is mild loss of disc space height, disc desiccation and disc bulge at this level. There is mild hypertrophy of the ligamentum flavum at this level. There is only partial effacement of spinal fluid ventral and posterior the spinal cord at this level.At C4-5 there is loss of disc space height, disc desiccation, diffuse disc bulge and ligamentum flavum hypertrophy with partial effacement of spinal fluid ventral and posterior the spinal cord there is uncovertebral osteophyte formation present predominantly in the right side associated with some facet hypertrophy which is associated with encroachment of the right-sided exiting nerve roots at this level.At C5-6 there is loss of disc space height, disc desiccation and diffuse disc bulge as well as mild posterior subluxation of C5 on C6. There are bilateral uncovertebral osteophytes and some endplate osteophytes at this level associated with encroachment of the exiting nerve roots within the neural foramina bilaterally. There is partial effacement of spinal fluid ventral and posterior the spinal cord at this level.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.
1.There are multilevel degenerative changes present in the cervical spine with encroachment of the right-sided exiting nerve roots at C4-5 and encroachment of the exiting nerve roots bilaterally at C5-6. There are only mild degrees of spinal stenosis present.