Left upper extremity radiculopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: There is a disc osteophyte complex with uncovertebral hypertrophy resulting in moderate left-sided neural foraminal stenosis. No significant spinal canal or right neural foraminal narrowing.C3-4: Small disc osteophyte complex with uncovertebral hypertrophy results in no significant spinal canal stenosis. There is mild to moderate right and mild left neural foraminal stenosis.C4-5: Left paracentral disc osteophyte complex and uncovertebral hypertrophy, left greater than right. There is mild to moderate stenosis involving the left aspect of the spinal canal at this level including mild impression on the left ventral aspect of the cord. There is moderate to severe left and moderate right neural foraminal stenoses.C5-6: Disc osteophyte complex including bilateral uncovertebral hypertrophy. There is mild spinal canal stenosis, particularly on the left. There is severe left and moderate to severe right neural foraminal stenosis.C6-7: Disc osteophyte complex with uncovertebral hypertrophy. There is moderate to severe left and moderate right neural foraminal stenosis. No significant spinal canal stenosis.C7-T1: No significant compromise to the spinal canal. There is bilateral uncovertebral hypertrophy. There is mild bilateral neural foraminal narrowing.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. There is mild to moderate spinal canal stenosis involving the left aspect of the spinal canal at the C4-C5 level and to a lesser degree at the C5-C6 level. No cord signal abnormality.2. There is multilevel neural foraminal stenoses, relatively worse at the C4-C5, C5-C6, and C6-C7 levels. Please see details above.