Diagnosis: CervicalgiaClinical question: neck pain, tingling in the UE with h/o spinal stenosis, evaluate for nerve impingement 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. Exam is degraded by motion artifact.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal . There are left sided uncovertebral osteophytes present associated with disk material and encroachment of the left exiting nerve roots. This is stable compared to the prior exam.At C5-6 there are endplate and uncovertebral osteophytes present associated with posterior ligamentous hypertrophy and left worse than right neural foraminal encroachment of exiting nerve roots. There is moderate left sided encroachment of exiting nerve roots and mild to moderate right sided encroachment of exiting nerve roots. There is loss of disk space height and disk dessication present at this level. This is stable compared to the prior exam. There is mild spinal stenosis.At C6-7 there are endplate and uncovertebral osteophytes present and left worse than right neural foraminal encroachment of exiting nerve roots. There is moderate left sided encroachment of exiting nerve roots and mild to moderate right sided encroachment of exiting nerve roots. There is loss of disk space height and disk dessication present at this level. This is stable compared to the prior exam.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is a disk bulge and disk dessication present at this level.The vertebral artery flow voids appear to be intact.
There are degenerative changes present in the cervical spine present worse at C5-6 and C6-7 where there is moderate left sided encroachment of exiting nerve roots and mild to moderate right sided encroachment of exiting nerve roots. There is mild spinal stenosis at C5-6 and mild to moderate encroachment of the left exiting nerve roots at C4-5. These findings are stable compared to the prior exam from 3/3/14. 