Radiculopathy, cervical region [M54.12], Reason for Study: ^Reason: eval for radiculopathy, myelopathy History: neck pain and left sided radicular pain There is straightening of cervical spine. The cranial-cervical junction is normal. There is minimal fluid collections on the atlanto axial joint indicating inflammatory changes including osteoarthritic changes. There is no evidence of atlanto axial subluxation.The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The cord signal is normal. Degenerative changes are specified by the intervertebral level as follows: C2-C3: disc dessication, no neuroforaminal narrowing or spinal stenosis. C3-C4: disc dessication, no neuroforaminal narrowing or spinal stenosis. C4-C5: there is broad based central to left disc protrusion which abuts thecal sac, no neuroforaminal narrowing or spinal stenosis. C5-C6: disc dessication,, diffuse bulging of disc which abuts thecal sac, no neuroforaminal narrowing or spinal stenosis. C6-C7: disc dessication, broad based disc protrusion which abuts thecal sac and minimal obliteration of the left lateral recess, no neuroforaminal narrowing or spinal stenosis. C7-T1: no neuroforaminal narrowing or spinal stenosis.
1. Multi-level various degree disc degenerations as described above.2. Disc herniations at the level of C45 and C67 as described above. Disc bulging at the level of C56.