###Human: I am having pain behind breast that is radiating to underarm. Please help. ###Assistant: Hi. Following is the reply after viewing your images (attachment removed to protect patient identity).  Review of cervical spine MRI. In C2-C3 disc level, there is a mild left neural foraminal compromise. In C3-C4 and C4-C5 disc levels, there is minimal right and mild left neural foraminal compromise. In C5-C6 and C6-C7 disc levels, there is a minimal bilateral neural foraminal compromise (left greater than right). The features of DISH are persisting. Therefore, it is likely that the pains you are having on the left are due to mild neural foraminal compromise in the above cervical levels. There is mild fluid in C3-C4 and C4-C5 disc levels. There is no significant spinal canal stenosis. Review of thoracic spine MRI shows no significant disc bulge or neural foraminal compromise. Review of lumbar spine MRI and CT. There is no obvious disc bulge but the changes in the vertebrae and the intervertebral facet joints are moderate in nature. There is thickening of the flavum ligamentum in L1-L2, L2-L3 and L3-L4 disc levels causing thecal sac compression and impingement of nerves in the lumbar spinal canal. There is lumbar spinal canal stenosis in many disc levels and is prominent in L1-L2 disc level. There is a moderate bilateral neural foraminal compromise in L3-L4 and L4-L5 disc levels. The increase in pain during bowel movements is likely due to dynamic neural foraminal stenosis. The CT scan shows significant degenerative bone changes and facet joints are showing sclerotic changes in multiple levels.