Cervicalgia. Pain with movement. Rule out DJD, bulging disc or herniation. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild straightening of the cervical spinal curvature. Alignment is otherwise maintained. Bone marrow signal is benign. Fatty endplate marrow signal changes are evident at the C5-C6 level which are on a degenerative basis. There is moderate disc height loss at the C5-C6 and C6-C7 levels.The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancement.There is mild development of narrowing of the cervical spinal canal with superimposed degenerative changes as described below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a small central/bilateral paracentral disc protrusion. No significant compromise to the spinal canal. There is mild left neural foraminal stenosis related to facet arthropathy. Right neural foramen is patentC4-5: No significant compromise to the spinal canal or neural foramina.C5-6: There is a disc osteophyte complex with mild to moderate degree of spinal canal stenosis. Bilateral uncovertebral hypertrophy contributes to mild to moderate bilateral, right greater than left, neural foraminal stenosis. These findings are similar to prior.C6-7: There is a disc osteophyte complex with slight interval increase in disc bulge component at this level. There is moderate spinal canal stenosis which is worse since 2/8/2016. There is also uncovertebral hypertrophy with associated moderate bilateral, left worse than right, neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.There is also mild generalized facet arthropathy throughout the cervical spine. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine, worst at the C6-C7 and to a slightly lesser degree C5-C6 levels. There is moderate spinal canal stenosis at C6-C7 which is mildly worse since 2/8/2016. There is also moderate degree of bilateral neural foraminal stenosis at C6-C7.2. Additional levels as above.