54 years Female (DOB:2/24/1962)Reason: pain History: painPROVIDER/ATTENDING NAME: RODERICK H. BIRNIE RODERICK H. BIRNIE The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. Overall the patient's cervical spinal canal is rather small on a congenital basis.There are large anterior osteophytes present at this level.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is disc desiccation and a disc bulge present at this level associated with uncovertebral osteophytes. There is facet hypertrophy predominantly on the left side at this level. There is mild encroachment of the exiting nerve roots within the neural foramina at this level.At C4-5 there is some loss of disc space height and disc desiccation as well as endplate and uncovertebral osteophytes. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level and there is effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is a mild to moderate degree of spinal stenosis present. There is bilateral encroachment of exiting nerve roots within the neural foramina this level.At C5-6 there are endplate and uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally and some encroachment of the exiting nerve roots.At C6-7 there are endplate and uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally and some encroachment of the exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is some ligamentum flavum hypertrophy which does narrow the neural foramen bilaterally at this level.The vertebral artery flow voids appear to be intact.
There are multilevel degenerative changes present in the cervical spine with encroachment of exiting nerve roots within the neural foramina at multiple levels from C4-5 down to C6-7 and some mild to moderate spinal stenosis at C4-5.