Neck and arm pain, C6 distribution weakness, left upper extremity. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild reversal of cervical lordosis with apex at the C4-C5 level. Alignment is otherwise maintained. There is nonspecific subcentimeter focus of low T1 and T2 signal involving the anterior inferior aspect of the C6 vertebral body with adjacent T2 hyperintensity which may be on a degenerative basis but not well evaluated by MRI.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 with mild effacement of the ventral thecal sac. There is moderate narrowing of the left neural foramen related to uncovertebral hypertrophy and facet arthropathy. Overall no significant spinal canal or right neural foraminal stenosis.C4-5: Small disc osteophyte complex with effacement of the ventral thecal sac. There is mild left neural foraminal narrowing related to uncovertebral hypertrophy and facet arthropathy. Overall no significant stenosis of the spinal canal or right neural foramen.C5-6: Small disc osteophyte complex with effacement of the ventral thecal sac. There is mild to moderate left neural foraminal narrowing related to uncovertebral hypertrophy and minimal right neural foraminal narrowing. Overall no significant spinal canal stenosis.C6-7: Small disc osteophyte complex with partial effacement of the ventral thecal sac. There is mild to moderate left neural foraminal narrowing related to uncovertebral hypertrophy. Overall no significant spinal canal stenosis or right 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.
1. Multilevel degenerative changes in the cervical spine. There is varying mild to moderate degrees of neural foraminal narrowing on the left as detailed above.2. There is partial effacement of the ventral thecal sac related to small disc osteophyte complexes and reversal of cervical lordosis. Dorsal thecal sac remains patent without significant spinal canal stenosis overall at any level. 