Diagnosis: CervicalgiaClinical question: eval for cervical spine pathologySigns and Symptoms: pain in lateral neck with movement The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is mild multilevel disc desiccation 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. There is a disc bulge present at this level. There is mild narrowing of the left neural foramen at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a small central disc extrusion present at this level which is associated with small uncovertebral osteophytes and some encroachment of the neural foramina bilaterally and encroachment of exiting nerve roots. The encroachment is slightly worse on the left when compared to the right side. Disc material extrudes behind the superior aspect of the C4 vertebral body.At C5-6 there is no significant compromise to the spinal canal or neural foramina.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.The right thyroid lobe is larger than the left thyroid lobe. This was also true on the prior CT exam.
1.There are some degenerative changes present in the cervical spine which are worse at C4-5 where there is a central disc extrusion present associated with small uncovertebral osteophytes and encroachment of exiting nerve roots within the neural foramina.