Question: Could a cervical disc bulge even if minor at C 2 & C 3 as well as at C 3 & C 4 cause mild but consistent headaches? I’ve had an MRI of the brain and neck. Neck definitely has degeneration and height loss

Result Date (e.g. 10/29/1985):

Provider:

Comments:
Mission Medical Center
27700 Medical Center Rd.
Mission Viejo, CA 92691

Imaging Services

Patient Name: HALE,DUKE DOB: 10/25/1949
Account #: AV0000 Age/Sex: 69/M
Unit #: AR0000 Location: SMTMRI

Admitting Dr:
Ordering Dr: Benner, XXXXXXX O MD
Admit Date/Time: 12/19/18 1455

Exam Performed: MRI Cervical Spine wo IV
Exam Date/Time: 12/19/18
Date of Service: 12/19/18 1500
Req #: 1219-0163
Accession #: 0000.001SMM
Dictating Dr: XXXXXXX N Rucker MD
Primary Dr: Benner XXXXXXX O
Procedure: MRI Cervical Spine wo IV

History: CERVICAL SPINAL STENOSIS

Comparison: 6/10/17.

Procedure Comments: MRI of the cervical spine was performed without
intravenous contrast.

Findings:

Alignment: Mild reversal the normal cervical lordosis.

Bone marrow: Normal for age.

Vertebrae: Degenerative changes are seen at the atlantoaxial articulation.

C2-C3: Posterior disc bulges seen asymmetric towards the left with left
greater than right uncovertebral arthrosis and mild bilateral neural foraminal
stenosis. AP thecal sac diameter measures 8-9 mm.

C3-C4: Posterior disc osteophyte complex with uncovertebral and facet
arthrosis. 4 mm AP this diameter appears without significant change. Some
subligamentous extension of the disc material is seen. Moderate bilateral
neural foraminal stenosis. AP thecal sac diameter is 8 mm not significantly
changed.

C4-C5: Diffuse posterior disc osteophyte complex with partial effacement of
the ventral subarachnoid space. Uncovertebral and facet arthrosis. Mild
bilateral neural foraminal stenosis. AP thecal sac diameter measures 9 mm.

C5-C6: Posterior disc osteophyte complex is seen asymmetric in the midline and
to the left of the midline measuring up to 2 mm in thickness. AP thecal sac
diameter is 10 mm. Uncovertebral and facet arthrosis is seen. Moderate left and
mild right neural foraminal stenosis.

C6-C7: Mild diffuse disc bulge with uncovertebral arthropathy. Moderate right
and mild left neural foraminal stenosis.

C7-T1: No spinal canal or neural foraminal stenosis.

Cord: Normal.

Extra-vertebral soft tissues: Normal.

Visualized brain: Normal.

Additional comment: None.

IMPRESSION:

1. Multilevel degenerative disc disease appears without significant change
since 6/10/2017. This is most significant at the C3-4 level





Authenticated By:
12/20/18 1234
__________________________________ XXXXXXX N Rucker MD




Report #: 1220-1264
Dictated date/time: 12/20/18 1216
Transcription date/time: 12/20/18 1216
Transcriptionist: POWERSCRIB