Conversation: The conversation between human and AI assistant.
[|Human|] I recentley had an MRI for my neck pain down my shoulder blade and arms can you explain what al this means? NEURALGIA/NEURITIS NOS-LT C8 RADICULOPATHY- provided. Neck pain. COMPARISON: None TECHNIQUE/PROTOCOL: Standard noncontrast cervical spine HNP protocol MR performed. No immediate patient complications or events noted. FINDINGS: Postsurgical changes of C5-7 ACDF. Slightly focal lordosis at the C4-5 level just above the fusion. Minimal retrolisthesis of C4 on C5, unchanged. Cord caliber and cord signal are normal. Normal bone marrow and craniocervical junction. Visualized paraspinal and neck soft tissues unremarkable. C1-C2: Unremarkable. C2-C3: No disc bulge, canal stenosis or neural foraminal narrowing. C3-C4: Broad-based disc bulge causes mild narrowing of the ventral CSF space. No canal stenosis or neural foraminal narrowing. C4-C5: Broad-based disc bulge narrows the ventral CSF space. No significant canal stenosis or neural foraminal narrowing. C5-C6: Fused disc space with no significant canal stenosis. Right-sided uncovertebral hypertrophy causes moderate Right neural foraminal narrowing. C6-C7: Fused disc space without canal stenosis or neural foraminal narrowing. C7-T1: Right paracentral disc osteophyte narrows the ventral CSF space without significant canal or neural foraminal narrowing. T1-2: Sagittal images only. No disc bulge or canal stenosis. T2-3: Sagittal images only. No disc bulge or canal stenosis. IMPRESSION: 1. Postsurgical changes of C5-7 ACDF with multilevel degenerative disc disease causing no significant canal stenosis. 2. Moderate right neural foraminal narrowing at C5-6 due to uncovertebral hypertrophy. David Barber YYYY@YYYY
[|AI|]  Hi Mr David, Thank you for posting your query. I have gone through the report of your MRI of cervical spine. I would like to first reassure you that there are no serious problems noted in the MRI. The reports suggest degenerative and post-operative changes. There is no significant compression of the cervical nerves. Based on the reports, you require only conservative management such as medications (pregabalin, etc.) for nerve pain; and physiotherapy. Wishing you good health, Chat Doctor.