59 years Male (DOB: 7/30/1956)Reason: c/f R cervical radiculopathy History: painPROVIDER/ATTENDING NAME: HELENE G RUBEIZ HELENE G RUBEIZ The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is straightening of the normal cervical curvature present.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.At C4-5 there is a right lateral recess broad-based disc protrusion present which extends into the right neural foramen and encroaches on the right-sided exiting nerve roots within the neural foramen. There is also a disc bulge present at this level. There is some partial effacement of spinal fluid ventral to the spinal cord at this level. There are right-sided uncovertebral osteophytes present this level.At C5-6 there is some loss of disc space height and a diffuse disc bulge associated with effacement of the fat surrounding the exiting nerve roots within the neural foramina and encroachment of the exiting nerve roots. There are bilateral uncovertebral osteophytes present this level.At C6-7 there is no loss of disc space height, disc desiccation and diffuse disc bulge, right-sided uncovertebral osteophytes and encroachment of the exiting nerve roots within the left neural foramen. There is some effacement of the spinal fluid ventral and posterior the spinal cord and some mild flattening of the spinal cord this level. Overall there is moderate spinal stenosis at this level.At C7-T1 there is no significant compromise to the spinal canal. There are some encroachment of the left-sided exiting nerve roots at this level due toThe vertebral artery flow voids appear to be intact.There is some ill-defined lesion present within the right thyroid lobe which is not adequately imaged on this exam.
1.There are multilevel degenerative changes present in the cervical spine worse at C6-7 where there is a moderate degree of spinal stenosis. There is also encroachment of the left-sided exiting nerve roots at C6-7, the right-sided exiting nerve roots at C4-5 and bilateral exiting nerve roots at C5-6.2.There is some ill-defined lesion present within the right thyroid lobe which is not adequately imaged on this exam. Please note that MR is not accurate in evaluation of thyroid lesions.