64 years Male (DOB:1/28/1952)Reason: etiology of neck pain History: neck painPROVIDER/ATTENDING NAME: THOMAS J. KELLY SERVICES ANCILLARY The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.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 small left lateral recess disc protrusion at this level which mildly impresses on the left-sided exiting nerve root.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge present this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge present this level.At C6-7 there is a disc bulge present associated with some ligamentum flavum hypertrophy. There is partial effacement of spinal fluid ventral and posterior the spinal cord at this level. There is narrowing of the neural foramina bilaterally at this level and 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.
1.There are some degenerative changes present in the cervical spine worse at C6-7 where there is a mild to moderate degree of spinal stenosis and encroachment of the right-sided exiting nerve roots within the neural foramen.