Diagnosis: Other musculoskeletal symptoms referable to limbs(729.89)Malignant neoplasm of other specified sites of female breastClinical question: unexplained weakness in her armSigns and Symptoms: arm weakness bilateral. The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is mild reversal of the normal cervical curvature centered at C5-6.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 or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge and disc desiccation at this level. There are small uncovertebral osteophytes present at this levelAt C6-7 there is no significant compromise to the spinal canal or neural foramina.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 mild degenerative changes present in the cervical spine without significant compromise to spinal canal or exiting nerve roots.2.Mild reversal of the normal cervical curvature could be related to patient positioning or muscle spasm.