Neck pain due to lifting at work. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from straightening which may be in part positional. Bone marrow signal is within normal limits. 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: No significant compromise to the spinal canal or neural foramina.C4-5: Minimal disc osteophyte complex. Minimal narrowing of the spinal canal. Mild left neural foraminal stenosis. Right neural foramen is patent.C5-6: There is a disc osteophyte complex including a small left paracentral extrusion component. There is mild indentation of the ventral cord, left greater than right. There is overall mild to moderate spinal canal stenosis. There is also moderate right and mild left neural foraminal stenosis related to uncovertebral hypertrophy.C6-7: Small disc osteophyte complex with mild spinal canal stenosis. There is left-sided uncovertebral hypertrophy with moderate left-sided neural foraminal stenosis. There is mild right neural foraminal stenosis.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 with up to mild-to-moderate spinal canal stenosis at the C5-C6 level particularly involving the left aspect of the spinal canal. 2. There is also mild or mild-to-moderate neural foraminal stenosis at the C4-C5, C5-C6, and C6-C7 levels. Additional details as above.