Paresthesias involving both arms, brisk reflexes, up going left toe. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild loss of cervical lordosis, alignment is otherwise maintained.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or left neural foramina. Mild uncovertebral hypertrophy on the right with minimal right neural foraminal narrowing.C4-5: There is prominent uncovertebral osteophyte with mild to moderate right neural foraminal stenosis. No significant compromise to the spinal canal or left neural foramen.C5-6: Uncovertebral hypertrophy and mild disc bulge with effacement of the ventral thecal sac. Dorsal thecal sac is preserved without significant spinal canal stenosis at this level. There is minimal right neural foraminal narrowing. C6-7: Mild uncovertebral hypertrophy with minimal narrowing of the right neural foramen. No spinal canal or left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Mild degenerative changes in the cervical spine, as detailed above. No significant spinal canal stenosis at any level or cord signal abnormality. There is up to moderate right neural foraminal stenosis at the C4-C5 level.