47-year-old female with left upper extremity pain and numbness.Additional EMR Data: two month history of left-sided arm numbness that is constant as well as intermittent shoulder numbness. Normal recent EMG of the left extremity. Motion limited exam. The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained and the cervical vertebral bodies are appropriate in height. There is loss of disc height involving the C5-6 level. There is a likely hemangioma in the T2 vertebral body. The bone marrow signal is otherwise within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Degenerative changes are seen in the cervical spine as described below:C2-3 through C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: Tiny left paracentral disc-osteophyte complex with mild left neuroforaminal narrowing but no spinal canal stenosis. C5-6: There is a diffuse disc osteophyte complex with minimal paracentral prominence along with some left facet arthropathy which contribute to moderate to severe left neuroforaminal narrowing. There is mild right neuroforaminal narrowing but no spinal canal stenosis. C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: Trace disc-osteophyte complex without neuroforaminal narrowing or spinal canal stenosis.
Spondylotic changes of the cervical spine most prominent at the C5-6 level where there is moderate to severe left neuroforaminal stenosis. Correlate clinically for a left C5-6 radiculopathy.