59 years Male (DOB:9/3/1957)Reason: Cervical radiculopathy History: arm painPROVIDER/ATTENDING NAME: DALIA H ELMOFTY YASMIN HASAN Cervical spine: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 or neural foramina. There is left-sided facet hypertrophy present at this level and a disc bulge. There are small uncovertebral osteophytes present this level associated with disc material and mild narrowing of the neural foramina bilaterally.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is mild facet hypertrophy present at this level associated with minor disc bulge. There is mild narrowing of the right neural foramen at this level related to some small right-sided uncovertebral osteophytes and disc material.At C5-6 there is mild loss of disc space height, disc desiccation, diffuse disc bulge, endplate and uncovertebral osteophytes as well as encroachment of the exiting nerve roots within the neural foramina and effacement of spinal fluid ventral and posterior the spinal cord. Overall there is mild to moderate spinal stenosis at this level.At C6-7 there is no significant compromise to the spinal canal . There is a left lateral recess disc protrusion present at this level extending into the left neural foramen which is associated with some uncovertebral osteophytes. There is encroachment of the left-sided exiting nerve roots within the neural foramen at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation, endplate osteophytes and a diffuse disc bulge at this level associated with mild facet hypertrophy. There is more facet hypertrophy on the left side when compared to the right. There is some mild encroachment of the left-sided exiting nerve roots within the neural foramen at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet and ligamentum flavum hypertrophy at this level associated with a disc bulge.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are degenerative changes present in the cervical spine worse at C5-6 and C6-7 where there is mild to moderate spinal stenosis at C5-6 and encroachment of exiting nerve roots bilaterally at C5-6 and on the left-sided C6-7.2.There are some mild degenerative changes present in the lower lumbar spine without significant compromise to the spinal canal or exiting nerve roots.