Reason: disc herniation, spinal stenosis explaining neck/arm pain History: neck/arm pain, subjective weakness The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is straightening of the normal focal curvature present.At C2-3 there is no significant compromise to the spinal canal. There is left-sided facet hypertrophy present at this level resulting in narrowing of the left neural foramen and encroachment exiting nerve rootsAt C3-4 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this level.At C4-5 there is no significant compromise to the spinal canal. There are uncovertebral osteophytes present at this level associated with this material and encroachment of the exiting nerve roots bilaterally.At C5-6 there is no significant compromise to the spinal canal. There are uncovertebral osteophytes present at this level associated with this material and encroachment of the exiting nerve roots bilaterally right worse than left.At C6-7 there is no significant compromise to the spinal canal. There are uncovertebral osteophytes present at this level associated with this material and encroachment of the exiting nerve roots bilaterally.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 degenerative changes present in the cervical spine which result in the neural foramen encroachment on the left side at C2-3, the right side at C5-6 and bilaterally at C4-5 and C6-7.