41 years Male (DOB:12/26/1974)Reason: herniated cervical disc History: herniated cervical discPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG 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.Overall the patient's cervical spinal canal is small and the congenital basis.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is loss of disc space height, disc desiccation and a disc bulge associated with narrowing of the spinal canal and encroachment of the right-sided exiting nerve roots within the neural foramen. There are uncovertebral osteophytes present on the right side more than the left at this level. There is mild encroachment of left-sided exiting nerve roots at this level. Findings at C3-4 are unchanged compared to the prior exam.At C4-5 there is loss of disc space height, disc desiccation and a disc bulge associated with narrowing of the spinal canal. There are uncovertebral osteophytes present on the right side more than the left at this level. There is encroachment of the right-sided exiting nerve roots. Findings at this level are unchanged compared to the prior exam.At C5-6 there is a central disc extrusion redemonstrated which appears to have mildly regressed when compared to the prior exam. There is effacement of spinal fluid ventral but not posterior the spinal cord. There is some mild deformity of the spinal cord anteriorly where there is some mild signal change within the anterior aspect of the spinal cord.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a small broad-based central disc protrusion at this level which has not changed since the prior exam. Findings at this level are 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.Since prior examination a central disc extrusion at C5-6 has mildly regressed. There remains some mild spinal stenosis and some mild cord signal change.2.There are degenerative changes present elsewhere in the cervical spine with encroachment of right-sided exiting nerve roots at C3-4 and C4-5 and to a lesser degree encroachment of left-sided exiting nerve roots at C3-4 which are stable compared to the prior exam.