42 years Male (DOB: 10/28/1973)Reason: Eval for progression of c-spine stenosis History: cervical radiculopathyPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The cervical vertebral bodies are appropriate in overall alignment and height. There is mild reversal of the normal cervical curvature present.There is a small T2 hyperintense focus in the right hemicord at the C6-7 disc space level which is not readily appreciated on sagittal imaging. It is seen on a single slice and likely represents artifact.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. There is a left lateral recess disc protrusion present at this level which extends into the left neural foramen at this level and encroaches on the left-sided exiting nerve roots. There are endplate reactive changes present this level. These findings are stable compared to the prior exam.At C4-5 there is no significant compromise to the spinal canal . There is a left lateral broad-based disc protrusion present at this level which extends into the left neural foramen and encroaches on the left-sided exiting nerve roots. There are endplate reactive changes present this level. These findings are stable compared to the prior exam.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a diffuse disc bulge present this level associated with some disc desiccation and mild narrowing of the neural foramina. There are endplate reactive changes present this level. These findings are stable compared to the prior exam.At C6-7 there is no significant compromise to the spinal canal. There is loss of disc space height and disc desiccation and diffuse disc bulge at this level associated with endplate and uncovertebral osteophytes and encroachment of the exiting nerve roots within the neural foramen at this level. There are endplate reactive changes present this level which are high signal on T2 and T1. These endplate reactive changes were not present on the prior exam. The neural foramen encroachment is unchanged compared to the prior exam.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 degenerative changes present in the cervical spine with associated encroachment of exiting nerve roots within the neural foramina bilaterally at C6-7 and on the left side at C5-6. These findings are stable when compared to the prior exam though there are more endplate reactive changes present at C6-7 on the current exam when compared to the previous.2.There is no convincing evidence for demyelinating lesion within the cervical spinal cord on the basis of this exam.