43 years Male (DOB:9/6/1973)Reason: neck pain, cervical radiculopathy History: as abovePROVIDER/ATTENDING NAME: KAMALA GULLAPALLI COTTS KAMALA GULLAPALLI COTTS The cervical vertebral bodies are appropriate in overall alignment and height. 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.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is disc desiccation associated with a broad-based right lateral recess disc extrusion and endplate and uncovertebral osteophytes with encroachment of the right-sided exiting nerve roots and effacement of spinal fluid ventral and posterior to the spinal cord creating a moderate degree of spinal stenosis involving the right hemicord more than the left hemicord.At C6-7 there is disc desiccation present associated with a left lateral recess disc extrusion extending into the left neural foramen and encroaching the left-sided exiting nerve roots. Material extends into the spinal canal and effaces spinal fluid ventral and posterior the spinal cord. There is mild flattening of the spinal cord at this level. 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.
There are degenerative changes present in the cervical spine which are worse at C5-6 and C6-7 where there is moderate spinal stenosis and encroachment of the right-sided exiting nerve roots at C5-6 and left-sided exiting nerve roots at C6-7. The worst level appears to be C6-7.