Reason: cervical radiculopathy History: neck pain radiating into posterior left shoulder The cervical vertebral bodies are appropriate in overall alignment and height. There is a small syrinx present within the spinal cord at the C6 vertebral body level.At C2-3 there is a large right paramedian disk extrusion which compresses the right half of the thecal sac and the right hemicord. Overall there is a moderate degree of spinal stenosis at this level.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a mild degenerative change is present at this levelAt C4-5 there is a diffuse disk bulge present associated with endplate and uncovertebral osteophytes and mild narrowing of the spinal canal and mild narrowing of the right neural foramen. Overall is a mild appearance the isthmus is normal.At C5-6 there is a left paramedian disk extrusion which compresses the left half of the thecal sac and left hemicord. There is associated endplate and uncovertebral osteophytes at this level. Overall there is a moderate degree of spinal stenosis at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is some disk desiccation at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Incidental note is made of partial empty sella.
1.There is a large disk extrusion at C2-3 which compresses the right hemicord and crates spinal stenosis.2.There is a large disk extrusion at C5-6 which compresses the left hemicord and creates spinal stenosis.3.There are degenerative changes present in the cervical spine associated with a encroachment of the right-sided exiting nerve roots at C4-5 and mild spinal stenosis at C4-5