system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Ms. ABC returns today for followup regarding her left shoulder pain and left upper extremity C6 radiculopathy.  I had last seen her on 06/21/07. At that time, she had been referred to me Dr. X and Dr. Y for evaluation of her left-sided C6 radiculopathy.  She also had a significant rotator cuff tear and is currently being evaluated for left-sided rotator cuff repair surgery, I believe on, approximately 07/20/07.  At our last visit, I only had a report of her prior cervical spine MRI.  I did not have any recent images.  I referred her for cervical spine MRI and she returns today. She states that her symptoms are unchanged.  She continues to have significant left-sided shoulder pain for which she is being evaluated and is scheduled for surgery with Dr. Y. She also has a second component of pain, which radiates down the left arm in a C6 distribution to the level of the wrist.  She has some associated minimal weakness described in detail in our prior office note.  No significant right upper extremity symptoms.  No bowel, bladder dysfunction.  No difficulty with ambulation.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Hello, I'm here for my appointment.

assistant: Welcome back to the clinic, Miss A B C.

user: Thank you.

assistant: It looks like we last saw you June twenty first, this year. Doctor X and Y referred you for the evaluation of your pinched nerve in the C six regain on the left side. I also see that we are following up on the significant rotator cuff tear on the left side.  Did you get scheduled for the surgery with Doctor Yen yet?

user: Yes. I believe the surgery is scheduled for July twentieth.

assistant: How is your shoulder feeling?

user: My shoulder is the same. I am still in a significant amount of pain.

assistant: I am sorry to hear that. Your surgery is coming up soon and that should help.

user: I hope so.

assistant: We are also following up the pinched nerve in your upper left extremity C six. How are you feeling?

user: I have had some pain starting in that same spot, and it goes down the left arm into my wrist.

assistant: Have you had any weakness associated with your upper extremities on the left side?

user: It is mild and it is about the same as the last time.

assistant: Is it about the same as the last time you were here? We have it noted in the last note that it was mild as well.

user: Yes. It has been the same.

assistant: Any weakness or symptoms on the right side?

user: No, not really.

assistant: Any difficulty with mobility or moving around on either side?

user: No.

assistant: Have you been experiencing any bowel or, bladder dysfunction.

user: No.

assistant: I see in the chart for our last visit, I only had a report of a prior cervical spine M R I.  I don't have any recent images. I going to refer you for a cervical spine M R I. Are you able to get the imaging done today and I will have you return to the clinic at the end of today?

user: Yes. I can do that. I took the whole day off of work today.

assistant: Great! I will put the order in right now.