Unremitting radicular pain radiating down right arm and right arm weakness. Evaluate for right cervical disc herniation. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. 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 bulge. Minimal left neuroforaminal stenosis. No right neuroforaminal stenosis. No central spinal canal stenosis.C5-6: Mild disc bulge, left greater than right, and uncovertebral hypertrophy. There is mild spinal canal stenosis with effacement of the left ventral thecal sac and mild impression on the ventral cord. Mild bilateral, right relatively greater than left, neural foraminal narrowing. C6-7: Mild disc bulge. Mild-to-moderate left and minimal right neuroforaminal stenosis. No significant compromise to the spinal canal.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.
Mild degenerative changes in the cervical spine, relatively worse at the C5-C6 and C6-C7 levels, as detailed above. 