82 years Female (DOB: 7/31/1933)Reason: bilateral arm pain History: bilateral arm painPROVIDER/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.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is disc desiccation at this level.At C3-4 there is no significant compromise to the spinal canal. There are small uncovertebral osteophytes present associated loss of disc space height and disc desiccation. There is narrowing of the neural foramina bilaterally at this level. There is encroachment of the exiting nerve roots within the neural foramen at this level.At C4-5 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with endplate and uncovertebral osteophytes and effacement of spinal fluid ventral and posterior the spinal cord. There is some hypertrophy of the ligamentum flavum at this level. There is narrowing of the neural foramina bilaterally with encroachment of exiting nerve roots due to uncovertebral osteophytes and disc material. Overall there is a mild to moderate degree of spinal stenosis at this.At C5-6 there is loss of disc space height, disc desiccation and bilateral uncovertebral and endplate osteophytes associated with encroachment of the exiting nerve roots within the neural foramina bilaterally. There is some hypertrophy of the ligamentum flavum at this level. There is effacement of spinal fluid ventral and posterior the spinal cord and overall a mild to moderate degree of spinal stenosis at this level.At C6-7 there is no significant compromise to the spinal canal . There is loss of disc space height, disc desiccation and a diffuse disc bulge associated with endplate uncovertebral osteophytes at this level. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level as well as disc desiccation.The vertebral artery flow voids appear to be intact.Additional left parotid gland there is a cystic appearing lesion which is incompletely imaged on this exam.
1.There are multilevel degenerative changes present in the cervical spine with mild to moderate spinal stenosis at C4-5 and C5-6 and encroachment of exiting nerve roots in the neural foramina at C3-4, C4-5, C5-6 and C6-7.2.The inferior tip of the cystic appearing lesion is included in the left parotid space right behind the mandible which is not adequately assessed on this exam is uncertain what this represents. If clinically indicated additional imaging of the parotid gland may be of benefit.