Male 41 years old Reason: assess herniated cervical disc. Right arm pain numbness and tingling to fingers History: right arm pain numbness and tingling to fingers Alignment is normal. There is again straightening of the normal cervical lordosis. Mild disc narrowing at C4-5 and C5-6 is unchanged. Vertebral body and disc heights are otherwise maintained. Bone marrow signal is within normal limits. Developmental narrowing of the cervical spinal canal due to shortened pedicles appears similar to prior exam.Degenerative changes are specified by the intervertebral level as follows: C2-C3: Mild to moderate developmental spinal stenosis. Minimal right uncovertebral hypertrophy. Overall unchanged.C3-C4: Mild posterior disc osteophyte complex with right-sided prominence. Right greater than left uncovertebral hypertrophy. Moderate central stenosis and moderate to severe right greater than left neural foraminal stenosis. Overall unchanged.C4-C5: Small posterior disc osteophyte complex with mild to moderate spinal stenosis. Right greater than left uncovertebral hypertrophy, with moderate to severe right and moderate left neural foraminal stenosis. Overall unchanged.C5-C6: Central disc extrusion appears flatter and slightly less bulky compared to prior exam, with continued impingement on the spinal cord. No definite cord edema is seen. Moderate generalized spinal stenosis. Mild right and moderate to severe left neural foraminal stenosis, similar to prior exam.C6-C7: Mild disc bulge with superimposed shallow left paramedian central disc protrusion abutting the ventral spinal cord. Mild to moderate spinal stenosis and minimal left neural foraminal stenosis. Overall unchanged.C7-T1: No neuroforaminal narrowing or spinal stenosis.
1.Central disc extrusion at C5-6 with impingement on the cord appearing slightly less bulky compared to prior exam. No definite cord edema at this level.2.Otherwise multilevel degenerative changes are similar to prior exam, as described above.