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data/train/audio_01822.wav
visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. mosaic attenuation with areas of air trapping noted in bilateral upper and lower lobe segments - possibility of small airway disease for clinical correlation differential diagnosis na recommendation suggested clinic...
data/train/audio_03133.wav
both domes of diaphragm are normally placed. undisplaced fracture in lateral aspect of left 9th and 10th ribs. no soft tissue abnormality seen. undisplaced fracture in lateral aspect of left 9th and 10th ribs. recommendation suggested clinical correlation.
data/train/audio_03317.wav
the cardiac silhoutte is normal. cardiothoracic ratio is normal. bones of the thoracic cage are normal. soft tissues of the chest wall are normal. : prominent bronchovascular markings
data/train/audio_00375.wav
subcutaneous soft tissues: mild subcutaneous edema noted in the leg. no subcutaneous gas or focal drainable collection is identified on this non-contrast study. neurovascular/arteries: minimal atherosclerotic calcified plaques noted in the proximal third of the anterior tibial artery.
data/train/audio_04798.wav
signal intensity. bilateral maxillary and ethmoidal sinusitis. rest of paranasal sinuses are normal. fluid densities involving bilateral mastoid air cells suggestive of mastoiditis. : few chronic lacunar infarcts involving right thalamus. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fron...
data/train/audio_04693.wav
causing indentation over right traversing s1 and exiting l5 nerve roots.
data/train/audio_04729.wav
supratentorial: resiolving haemorrhage with surrounding hypodensity noted in left ganglio-capsular region measuring approximately 3.2 x 2.3 cm. there is mass effect in the form of effacement of left lateral ventricle and midline shift of 1 mm towards the right side.
data/train/audio_04180.wav
additionally, there are multiple scattered t2/flair hyperintensities in the bilateral periventricular white matter, non-specific in appearance. no significant mass effect or midline shift is noted. no abnormal leptomeningeal or pachymeningeal enhancement seen (if contrast given).
data/train/audio_02597.wav
ct cervical spine clinical details: neck pain and tingling sensation. technique: non-contrast ct scan of the cervical spine with multiplanar reformats. findings: alignment: normal cervical alignment. no listhesis.
data/train/audio_02739.wav
hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal.
data/train/audio_01098.wav
: multiple heterogeneous enhancing intra-axial lesions of varying sizes are noted in bilateral cerebral hemispheres and posterior fossa. the largest lesion is seen in the left parietal lobe, measuring approximately 1.6 x 2.3 x 2.2 cm, showing heterogeneous contrast enhancement with surrounding perilesional vasogenic oe...
data/train/audio_04214.wav
miscellaneous: * soft tissues are unremarkable. * visualized vertebrae show no fracture or dislocation. undisplaced fracture noted in bilateral nasal bones. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04387.wav
predominantly involving the posterior aspect. a well defined altered signal intensity collection noted involving the subcutaneous plane of lower leg region on posteromedial aspect. it measures approximately 11 x 32 x 39 mm (tr x ap x cc) (approximate volume 7 cc).
data/train/audio_04511.wav
fracture of right frontal bone. fracture of anterior and posterior wall of right maxillary sinus. soft tissue swelling at right frontal region.
data/train/audio_02909.wav
impression: gross ascites with encapsulated clustering of bowel loops (abdominal cocoon appearance). associated mesenteric lymphadenopathy. findings are highly suggestive of infective etiology, with abdominal tuberculosis being the most likely diagnosis in the given clinical context.
data/train/audio_05206.wav
there is no shift of the midline structures or herniation. no evidence of any intracranial space occupying lesion or hemorrhage. sella, parasellar structures and orbits reveal no significant abnormality. no abnormal parenchymal / meningeal enhancement seen.
data/train/audio_00352.wav
large staghorn calculus in the left renal pelvis measuring ~3.1 x 2.8 cm, with associated pelvicalyceal system dilatation and delayed excretion, suggestive of obstructive uropathy. right kidney and ureter - normal. recommendations: ct kub
data/train/audio_05479.wav
no significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal. others: degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. diffuse hypoattenuation o...
data/train/audio_02400.wav
bilateral ueretes are normal and shows normal contrast excreation. a well-defined simple cortical cyst (~3 x 2 x 1 cm) noted in the interpolar region. no hydronephrosis or calculi. adrenals: bilateral adrenal glands appears normal.
data/train/audio_00761.wav
bulky uterus with soft tissue density lesion measuring approximately 5.8 x 4.3 cm noted in the region of fundus- possibly fibroid. hypodense lesion measuring 18 x 20 mm noted in cervix - ?nabothian cyst.
data/train/audio_01769.wav
comminuted displaced fracture is noted involving the distal humerus with fracture lines extending through the medial epicondyle, lateral humeral epicondylar region, trochlea, and capitellum. multiple displaced fracture fragments are seen. there is intra-articular extension of the fracture with involvement of the elbow ...
data/train/audio_01538.wav
kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal. :
data/train/audio_04903.wav
there is no shift of midline structures the paranasal sinuses, orbits and calvarium appear unremarkable. mr angiography - mild to moderate irregular narrowing of p2 cavernous segment of left internal carotid artery is seen.
data/train/audio_04257.wav
cord csf interface is normally visualized. no significant compression over thecal sac, spinal cord or nerve roots is observed. no intramedullary or intra/extradural pathology is seen. no evidence of any osseous or soft tissue anomaly at cranio-vertebral junction.
data/train/audio_02893.wav
vertebral bodies the vertebral bodies and posterior elements are normal. there is no fracture or destructive lesion. disk spaces reduction in intervertebral disc height noted at l4-l5 and l5-s1 levels. spinal canal appears normal. alignment loss of lumbar lordosis. no kyphosis, scoliosis
data/train/audio_01846.wav
:- hrct chest technique: high-resolution computed tomography (hrct) of the chest performed with thin-section axial images and multiplanar reconstructions. findings:
data/train/audio_03926.wav
impression - mr scan reveals mild prostatomegaly with features of benign prostatic hyperplasia. imaging features suggestive of sequelae to prostatitis in the peripheral zone of prostate gland.
data/train/audio_02598.wav
prevertebral / paraspinal soft tissues: no prevertebral soft tissue swelling. no focal paraspinal collection. craniovertebral junction: appears intact. visualized lung apices: no acute abnormality in the visualized apices.
data/train/audio_04457.wav
main pancreatic duct entering in the cyst cavity. dorsal pancreatic duct appear slightly more prominent than the ventral duct. communication between dorsal and ventral duct is maintained. no evidence of pancreatic divisum. minimal peripancreatic fat stranding are noted. no obvious evidence of peripancreatic fluid colle...
data/train/audio_02942.wav
* small perihepatic collection along segments vi-vii.
data/train/audio_02440.wav
bilateral mild ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted impression: few chronic lacunar infarcts involving bilateral ganglio-capsular regions. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-par...
data/train/audio_02515.wav
bilateral hilar prominence likely congestion. suggested clinical correlation.
data/train/audio_04443.wav
imaging features are suggestive of a fibrous soft tissue lesion, possibility of plantar fibromatosis (deep/aggressive type) to be considered. no evidence of adjacent osseous erosion or marrow involvement. histopathological correlation is recommended for definitive diagnosis.
data/train/audio_00312.wav
features are consistent with ehpvo and resultant cavernoma formation. prominent bilateral right and left intrahepatic biliary radicals and common hepatic duct secondary to portal cavernoma formation as described represent changes of early portal biliopathy.
data/train/audio_00951.wav
the main pulmonary trunk, right and left pulmonary arteries with the ascending and descending branches are normal. measurements main pulmonary trunk: (26) mm right pulmonary trunk: ( 16.6 ) mm left pulmonary trunk: ( 14.6) mm.
data/train/audio_01791.wav
diffuse urinary bladder wall thickening suggestive of cystitis. small physiological right ovarian cyst/follicle with mild pelvic free fluid. moderate colonic fecal loading. rest of abdominal organs appear unremarkable.
data/train/audio_00401.wav
visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. : no significant acute abnormality is seen.
data/train/audio_00220.wav
keros type 2 olfactory fossa is seen. uncinate process: attached to lamina papyracea. optic nerve canal: type ii. sinuses: bilateral ostiomeatal units are blocked. pneumatisation of the lateral masses of the sphenoid is seen on both sides with partial dehiscence of bilateral vidian nerve. rest of the both orbits appear...
data/train/audio_04790.wav
: blunting of left costophrenic angle suggestive of pleural effusion. rest of the lung fields appear clear. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. both domes of diaphragm are normal in shape and outline. right cardiophrenic and costophrenic angles are...
data/train/audio_00322.wav
no high-grade disc extrusion identified on ct. spinal canal / neural foraminal assessment mild multilevel posterior disc bulges without significant central canal stenosis. no gross high-grade neural foraminal compromise appreciable on ct.
data/train/audio_04228.wav
impression:- near complete acl tear near femoral attachment. high signal of the fibular attachment of lateral collateral ligament, popliteofibular and lateral meniscocapsular fibers s/o sprain horizontal and vertical tear of posterior horn of medial meniscus.
data/train/audio_01359.wav
no evidence of invasion into the myometrium. junctional zone: normal in thickness and signal intensity. cervix: normal in size, morphology, and signal intensity. ovaries:
data/train/audio_02215.wav
prominence of ventricles and cortical sulci suggestive of age-related cerebral atrophy with mild ventricular dilatation. periventricular and deep white matter hypodensities are noted consistent with chronic small vessel ischemic changes. extracalvarial soft tissue swelling with fat stranding is seen over right frontal ...
data/train/audio_01594.wav
l2-l3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l3-l4: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing.
data/train/audio_03788.wav
s/o chronic ischemic changes. rest of the cerebral hemispheres are normal in signal intensity and grey and white interface is well maintained. grey and white matter differentiation is maintained. basal ganglia and thalamus appear normal. bilateral insular cortex and sylvian fissures appear normal. no congenital mal for...
data/train/audio_00985.wav
bones extra-articular fracture of distal radius. rest of bones of forearm show normal mineralization. no fracture, sclerosis or erosion present. joints wrist and elbow joints are normal. joint spaces are normal. no signs of osteoarthritis is appreciated. no evidence of dislocation or subluxation seen.
data/train/audio_04679.wav
lateral meniscus appears normal in configuration and signal intensity. no evidence of tear noted. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain. the hoffa`s fat pad reveals edema.
data/train/audio_03263.wav
both adrenal glands: appear normal in size, shape and density. no evidence of mass lesion. right kidney: appears normal in shape, position and density. pelvicalyceal system is not dilated. no evidence of calculus. renal sinus appears normal. perirenal and pararenal spaces appear normal. gerota's fascia appears normal.
data/train/audio_03489.wav
collateral ligaments: mild sprain involving the medial collateral ligament. no evidence of tear. lateral collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of...
data/train/audio_00316.wav
findings alignment / curvature straightening with loss of normal lumbar lordosis. grade i anterolisthesis of l4 over l5. vertebral bodies / endplates lumbar vertebral body heights are maintained.
data/train/audio_03943.wav
left facetal protrusion at l5-s1 level.
data/train/audio_05373.wav
subscapularis tendinosis. mild acromio-clavicular joint arthrosis. minimal joint effusion. t2 hyperintense signal alteration with thickening noted in inferior gleno-humeral ligament with maximum thickness of 7 mm. the glenohumeral joint appears normal.
data/train/audio_05556.wav
cannot be commented upon. impression suboptimal ncct head study due to excessive patient motion, causing significant image degradation. hemorrhagic lesion in the peripheral right temporal region measuring approximately 25 x 20 mm, likely representing hemorrhagic contusion / intracerebral hemorrhage
data/train/audio_04373.wav
minimally displaced fractures involving lateral and posterior walls of sphenoid sinus with resultant sphenoid haemosinus. the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of infarct / sol. sella and parasellar structures appear g...
data/train/audio_02856.wav
basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no intra axial collection is seen. no midline shift is seen.
data/train/audio_01289.wav
mild to moderate colonic fecal loading suggestive of constipation. bulky uterus and cervix. no acute intra-abdominal pathology. degenerative changes in visualized spine. few fibrotic atelectatic bands in right middle lobe. recommend clinical correlation and ultrasound pelvis for further evaluation of bulky uterus and c...
data/train/audio_02841.wav
rest of the cerebral hemispheres are normal in signal intensity and grey and white interface is well maintained. rest of grey and white matter differentiation is maintained. basal ganglia and thalamus appear normal. bilateral insular cortex and sylvian fissures appear normal. no congenital mal formation noted.
data/train/audio_00135.wav
a well defined t2 iso to hyperintense cystic area seen in the left ovary without any post-contrast internal enhancement or solid enhancing nodule with thin peripheral wall and non-enhancing thin mesh like internal septae likely to represent hemorrhagic cyst rather than any other lesion.
data/train/audio_02696.wav
mild sclerosis of mastoid air cells no evidence of any obvious sclerosis seen. no soft tissue swelling seen. no obvious lytic lesion is appreciated. tm joints shows preserved articulation. mild sclerosis of mastoid air cells recommendation suggested clinical correlation.
data/train/audio_04986.wav
findings uterus the uterus is anteverted and anteflexed, measuring 6.9 x 3.9 x 5.2 cm. there is asymmetric thickening of the posterior myometrial wall (~3 cm) compared to the anterior wall (~1 cm). the junctional zone appears diffusely thickened with loss of the normal interface
data/train/audio_05442.wav
both orbits: eyeballs, optic nerves, orbital fat and extraocular muscles appear normal. paranasal sinuses: ethmoid and sphenoidal aircells appear normal. lamina papyracea and cribriform plate appear normal. posterior fossa: medulla oblongata, pons and midbrain appear normal.
data/train/audio_02879.wav
cect angiography pelvis clinical history technique contrast enhanced angiogram of the pelvis was performed on mdct scanner. the post processing techniques of multiplanar reformats, mip and vr were employed.
data/train/audio_00191.wav
findings: there is a clump of flow void areas are noted in left cerebellar hemisphere. size measures approximately 3.9 x 3.5 cm. prominent vascular channel noted in right cerebellar hemisphere. two tiny old petechial haemorrhages are noted in bilateral frontal lobes.
data/train/audio_04737.wav
no abnormality is detected in the prevertebral region. the vascular structures appear normal. spinal canal measurements are within normal limits. incidental note is made of well-defined t2 hyperintense cyst seen in right adnexa. please correlate clinically and further evaluated may be done, as clinically indicated.
data/train/audio_01948.wav
these are suggestive of chronic lacunar infarcts. mild chronic periventricular changes are seen. appearance and intensity of rest of the brain parenchyma is normal. the ventricles and cisterns appear normal. there is no shift of the midline structures. no mass lesion is detected. the intracranial vessels display normal...
data/train/audio_02322.wav
joint: elbow joint alignment is maintained. articular cartilage appears preserved. no joint effusion or intra-articular loose bodies are seen. no synovial thickening.
data/train/audio_00866.wav
there is a mild displaced fracture through the distal radial epiphysis and styloid process region with intra articular exetsion. soft tissue swelling is seen at wrist. conclusion: mild displaced fracture through the distal radial epiphysis and styloid process region with intra articular extension.
data/train/audio_05519.wav
a well defined iso to hyperdense lesion noted in the subgaleal plane of parietal region in left paramedian location. it measures approximately 19 x 18 x 21 mm (tr x ap x cc). few focal calcifications noted within the lesion. underlying bony cortex appears unremarkable.
data/train/audio_04479.wav
no evidence of distension of capsule, periarticular collection or abscess formation noted. comments: mild displaced comminuted fracture noted in head and anatomical neck of humerus. mild joint effusion noted.
data/train/audio_03170.wav
the intrinsic muscles of the foot (dorsal and plantar interossei) show pdfs hyperintense signal alteration, suggestive of muscle strain / edema. no focal ligamentous disruption is identified on the current study (limited evaluation depending on field of view).
data/train/audio_03237.wav
in the left ganglio-capsular region extending to superficial temporal lobe and corona radiata with mild perilesional edema. mild midline shift to the right by 3-4 mm. chronic infarct involving right temporal lobe. suggested clinical correlation. investigations have their limitations. solitary pathological/radiological ...
data/train/audio_04193.wav
small loculated area of hyperintensity measuring about 5 x 5 mm is seen within the medullary cavity, this may represent small abscess or marrow edema. associated periosteal thickening is seen posteriorly and posterolaterally in midshaft region. subtle cortical breach is seen posteriorly in upper shaft region.
data/train/audio_04327.wav
laryngeal framework and vocal cords appear unremarkable. infraglottic region appears normal. parotid and submandibular glands appear normal. thyroid gland appears unremarkable. major cervical vascular flow voids are maintained.
data/train/audio_02642.wav
no soft tissue abnormality seen. : no abnormality seen.
data/train/audio_04515.wav
is noted occupying predominantly the right hypochondrial region, extending inferiorly into the abdomen and pelvis. the lesion shows heterogeneous enhancement of internal solid components. few internal calcifications are noted. inferiorly: compression over urinary bladder and uterus
data/train/audio_03904.wav
foci likely representing hemosiderin deposition. a post-surgical defect in the right frontal bone is also noted, in keeping with prior craniotomy. there is mild surrounding gliosis without significant mass effect or midline shift. no diffusion restriction is seen.
data/train/audio_03677.wav
it does not show any diffusion restriction. there is blooming noted on gre sequence . moderate perilesional edema is seen. the ventricles and cisterns appear normal. there is no shift of midline structures. the intracranial vessels display normal flow void.
data/train/audio_00039.wav
soft tissues and muscles of chest wall are normal. small hiatus hernia noted. small calcified opacities measuring approximately 11 x 9 mm noted in the visualised upper anterior mesentery - ? calcified lymph node. tiny microlith in visualised left kidney. bilateral mild perinephric fat stranding noted.
data/train/audio_02609.wav
3. diffuse bulge of l3-4 disc, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion seen at this level. 4. mild facetal arthropathy is detected at l2-3 level. 5. the vertebral marrow appears ...
data/train/audio_04455.wav
distortion of the uterine contour. the imaging appearance is suggestive of an accessory cavitated uterine mass (acum), representing a non-communicating accessory uterine cavity lined by functional endometrium within the myometrium. both ovaries are normal in size and morphology. the right ovary
data/train/audio_02967.wav
cect head clinical history- right side body weakness technique axial sections of the brain were obtained from the base of the skull to the vertex after administration of intravenous contrast on a ct scanner. no immediate adverse contrast reaction seen.
data/train/audio_03076.wav
region with size and morphological features as mentioned. right adrenal gland not seen separately from the lesion. possibility of neoplastic aetiology - ? right adrenal lesion / retroperitoneal lesion. advice: contrast study for better evaluation. cholelithiasis without cholecystitis.
data/train/audio_05573.wav
findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 15 lm = zero. lad = zero lcx = 15. rca = zero. coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation.
data/train/audio_03684.wav
pancreas: normal in size, attenuation, and enhancement. main pancreatic duct not dilated. spleen: normal in size, attenuation, and enhancement. no focal lesions.
data/train/audio_05524.wav
cortical cyst in the right kidney measuring 10 x 10 mm (mid-pole). no hydronephrosis. bowel: no gross abnormality identified on this study. vasculature: no gross aneurysm or major vascular abnormality identified on this non-angiographic study.
data/train/audio_02662.wav
in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. few ill defined t2/ flair hyperintensities are seen in bilateral gcr regions -- s/o old lacunar infarcts. sulci and ventricle are mildly prominent. ----- suggested clinical correlation and follow up
data/train/audio_03217.wav
fibrocalcific changes with traction bronchiectasis: predominantly involving bilateral lower lobes also noted in apical segments of bilateral upper lobes pleura & chest wall no pleural effusion no definite rib destruction scalloping of the underlying posterior aspect of the left 6th rib adjacent to the lesion noted (
data/train/audio_00331.wav
this is highly concerning for endometriotic deposit. it also involves part of canal of nuck. no significant lymphadenopathy or ascites.
data/train/audio_02802.wav
lungs: abnormal airspace opacification/ggos in a segmental distribution involves the posterior segment of the bilateral upper lung lobe as well as the posterior and superior segments of the right lower lung lobe coalescing into consolidation in dependant segment of rul. airway and hilum:
data/train/audio_03000.wav
mild surrounding perilesional edema is noted. associated mass effect is seen in the form of: effacement of adjacent cortical sulci. compression and displacement of the left lateral ventricle. midline shift toward the right side measuring approximately 6.5 mm.
data/train/audio_00926.wav
bilateral cerebral and cerebellar hemispheres are normal. the brainstem appears normal. no evidence of mass lesion, infarct or hemorrhage is visualized. no evidence of contusion, edema or intracranial hemorrhage is visualized. the gray white differentiation is maintained. the basal ganglia,
data/train/audio_00997.wav
c5-c6 partial block vertebra. dorsal spine no significant abnormality detected in thoracic spine l3-l4 spondylodiscitis with paravertebral and bilateral psoas abscess formation - persistent. interval changes:
data/train/audio_02315.wav
straightening of cervical spine. no atlantoaxial dislocation is seen. the cervical cord is normal in course, caliber and signal intensity. no abnormal pre or paravertebral soft tissue is seen. no bony or soft tissue spinal canal stenosis is noted. level by level analysis:
data/train/audio_01881.wav
joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue periarticular soft tissues are normal. no significant abnormality noted.
data/train/audio_04137.wav
rest of soft tissues appear normal. opinion: displaced fracture involving the lateral margin of base of patella. mild soft tissue edema around knee joint.
data/train/audio_05257.wav
superior end plate wedge compression fracture of l4 vertebra. no retropulsed bone fragments
data/train/audio_02976.wav
no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. deviated nasal septum to the right with bony spur. bilateral mild maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fr...
data/train/audio_01095.wav
normal opacification of the abdominal aorta, bilateral iliac, femoral, popliteal, and right leg arteries. mild narrowing of the proximal left anterior tibial artery with preserved distal flow - ? secondarry to soft tissue swelling multiple lytic lesions involving the bilateral iliac bones and lower lumbar vertebrae - s...
data/train/audio_04558.wav
* focal area of fibroatelectasis and fibrobronchiectasis involving anterior segment of right upper lobe and few areas of fibroatelectasis with adjacent pleural thickening involving left upper lobe suggestive of sequelae of old infective etiology. suggested further evaluation with pet scan, histopathology and pulmonary ...
data/train/audio_02157.wav
cord contusion with oedema changes. diffuse disc bulge noted at c5-c6 level causing anterior thecal sac compression, spinal canal narrowing 10 mm with bilateral neural foraminal narrowing resulting in compression of bilateral c6 exiting nerve roots. mild the posterior annular bulge noted at c4-c5 and c6-c7 levels causi...