This document contains medical notes from multiple appointments for a patient with a history of cervical spondylosis and neck pain. It notes dates and results of imaging studies from 2011-2020 showing degenerative changes at multiple cervical levels. The patient is a 66 year old male with additional medical problems including cardiac issues and diabetes. He experienced worsening right upper extremity symptoms after injuries in 2019 and 2020. His most recent notes from 2021 indicate continued neck pain but no further treatment recommendations.