68-year-old male with neck pain Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild retrolisthesis of C5 on C6 and minimally of C6 on C7. Alignment is otherwise 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 including prominent facet arthropathy on the left at C3-C4. Individual levels as below: C2-3: No significant compromise to the spinal canal or right neural foramen. Minimal left neural foraminal narrowing.C3-4: Small disc osteophyte complex and ligamentum flavum thickening resulting in effacement of the ventral and dorsal thecal sac and mild to moderate spinal canal stenosis. There is moderate to severe left neural foraminal narrowing related to uncovertebral hypertrophy and facet arthropathy. Mild left facet joint distention. No significant right neural foraminal narrowing.C4-5: No significant compromise to the spinal canal or left neural foramen. Mild right neural foraminal narrowing.C5-6: Disc osteophyte complex without significant compromise to the spinal canal. There is moderate to severe right and moderate left neural foraminal stenosis primarily related to uncovertebral hypertrophy.C6-7: Disc osteophyte complex and ligamentum flavum thickening result in mild spinal canal narrowing. There is minimal right and moderate to severe left neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or left neural foramina. Minimal right neural foraminal narrowing.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Moderate degenerative changes throughout the cervical spine without evidence of high-grade spinal canal stenosis. Spinal canal narrowing is relatively worse at C3-C4 with mild to moderate stenosis. No cord signal abnormality is definitively appreciated.2. Neural foraminal narrowing at multiple levels as detailed above, particularly on the left at C3-C4, bilaterally at C5-C6, and on the left at C6-C7.3. Left C3-C4 facet arthropathy with mild joint distention which may be contributing to patient's neck pain.