Left C8 radiculopathy. There is straightening of the cervical lordosis, which may relate to patient position. The vertebral bodies are preserved in height. Marrow signal show no suspicious abnormality. There is loss of the disc heights from C3-C4 through C6-C7 associated with disc-osteophyte complexes indenting the anterior aspect of the thecal sac as described below. The spinal cord shows no abnormal signal or significant compression. Major neck vessels are patent. Small lymph nodes in the upper neck are nonspecific.C2-C3: There is no spinal canal or foraminal stenosis.C3-C4: Disc osteophyte complex minimally indents the thecal sac. Right more than left uncovertebral and facet proliferative changes result in mild-to-moderate right foraminal stenosis.C4-C5: Disc osteophyte complex mildly narrows the spinal canal. There is mild to moderate bilateral foraminal stenosis by uncovertebral and facet proliferative change.C5-C6: Disc osteophyte complex also mildly narrows the spinal canal. Left more than right uncovertebral proliferative change is associated with severe left and moderate right foraminal stenosis.C6-C7: Disc osteophyte complex causes no significant spinal canal narrowing. Mild uncovertebral and facet reactive change cause mild-to-moderate left and mild right foraminal narrowing.C7-T1: There is a disc bulge that mildly indents the anterior aspect of the thecal sac causing mild narrowing of the canal. There is left more than right facet and uncovertebral proliferative change associated with mild left foraminal stenosis. T1-T2: There is no spinal canal or foraminal stenosis.
Multilevel cervical spondylosis is most pronounced at C5-C6 where there is severe left and moderate right foraminal stenosis. At C7-T1, there is mild left foraminal stenosis. Spinal canal narrowing is at most mild, as described above.