C5 -- C6, C6 -- C7 radiculopathy. History of C7 -- T1 herniated disk there Nonenhanced CT of the cervical spine:Routine nonenhanced CT of cervical spine the sagittal and coronal 2-D reformatted images were obtained.This is not an appropriate exam for detection of herniated disk. The CT examination of cervical spine cannot precisely evaluate the soft tissues of the cervical spine (disk material or hypertrophic changes of the ligamentum flavum).To evaluate for a herniated disk an MRI examination of cervical spine is the study of choice.Very advanced degenerative disease throughout the cervical spine is noted. There is exaggerated lordosis of cervical spine. The alignment the vertebral column is otherwise unremarkable.Foramen magnum.Examination at this level is unremarkable.C2 -- C3.Degenerative disk disease and hypertrophic changes of posterior elements. No bony central spinal stenosis or neural foramina compromise.C3 -- C4.Advanced degenerative disk disease with loss of intervertebral disk height. Moderate hypertrophic changes of posterior elements. Compromise of bilateral neural foramina secondary to bony hypertrophic changes (left greater than right). No central spinal stenosis.C4 -- C5.Moderate degenerative disk disease and extensive hypertrophic changes of posterior elements (left greater than right). Compromise of bilateral neural foramina secondary to a both changes. No central spinal stenosis.C5 -- C6.Moderate degenerative disk disease and exaggerated hypertrophic changes of posterior elements with resultant bilateral neural frontal compromise. No central spinal stenosis.C6 -- C7.Advanced degenerative disk disease and also disk height. Moderate hypertrophic changes of posterior elements. Mild to moderate compromise of the left neural foramina. Questionable minimal compromise the right neural foramina. No central spinal stenosis.C7 -- T1.Advanced degenerative disk disease and minimal hypertrophic changes of posterior elements. No central spinal stenosis. No definitive neural foramina compromise.Limited view of upper thoracic spine demonstrate no central spinal stenosis and no significant degenerative changes.
1.Extensive degenerative disk disease and hypertrophic changes of posterior element throughout the cervical spine as detailed.2.No central spinal stenosis at any level however multi-level bilateral neural foramina compromise secondary to degenerative changes is present as detailed per level above.3.This examination cannot assess for herniated disk as mentioned above. If concern for acute herniated disk exist a dedicated MRI of the cervical spine is recommended.