Diagnosis: Radiculopathy, cervical regionClinical question: evaluate for left sided radiculopathySigns and Symptoms: left upper extremity pain The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is 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. There is right-sided facet hypertrophy present at this level. There are some uncovertebral osteophyte formation at this level associated with some encroachment of the right-sided exiting nerve roots.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is mild bilateral facet hypertrophy at this level.At C5-6 there is no significant compromise to the spinal canal. There is a disc bulge at this level associated with endplate and uncovertebral osteophytes. There is mild ligamentum flavum hypertrophy at this level. There is mild to moderate encroachment of the left-sided exiting nerve roots at this level. There is mild encroachment of the right-sided exiting nerve roots.At C6-7 there is no significant compromise to the spinal canal. There is a disc bulge at this level associated with endplate and uncovertebral osteophytes. There is mild ligamentum flavum hypertrophy at this level. There is mild to moderate encroachment of the left-sided exiting nerve roots at this level. There is mild encroachment of the right-sided exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
There are multilevel degenerative changes present in the cervical spine associated with some mild to moderate encroachment of left-sided exiting nerve roots at C6 and C6-7.