Left neck and shoulder pain. Prior cervical spine MRI was attempted on 4/15/2016, which was prematurely terminated due to patient's pain. Examination is mildly motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. There is nonspecific heterogeneity of the bone marrow with T1 shortening involving the lower cervical vertebral bodies, possibly related to radiation/radioiodine ablation.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: Small disc osteophyte complex. No significant compromise to the spinal canal. There is moderate narrowing of the bilateral neural foramina related to uncovertebral hypertrophy and facet arthropathy.C4-5: Minimal disc osteophyte complex and uncovertebral hypertrophy. No significant compromise to the spinal canal. Mild right and mild to moderate left neural foraminal narrowing.C5-6: There is a small disc osteophyte complex including a left foraminal disc extrusion. No significant compromise to the spinal canal. There is moderate left neural foraminal narrowing and mild right neural foraminal narrowing. C6-7: Minimal disc osteophyte complex. Mild to moderate narrowing of the left neural foramen. No significant spinal canal or right neural foraminal narrowing. C7-T1: No significant compromise to the spinal canal. Moderate narrowing of the neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes in the cervical spine without significant spinal canal stenosis at any level. Motion degradation limits optimal evaluation, however there is neural foraminal narrowing at multiple levels, particularly on the left as detailed above.