Cervicalgia. Posterior neck pain with left arm radiation. Outside order from Stroger hospital. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is minimal retrolisthesis of C5 on C6 and C6 and C7. Alignment is otherwise maintained.. Bone marrow signal is benign. T1 hyperintense lesion with enhancement involving the right T2 pedicle/transverse process junction is consistent with hemangioma. No suspicious enhancing lesions.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: Small central disc protrusion and ligamentum flavum thickening which partially efface the ventral and dorsal thecal sac. There is overall mild spinal canal stenosis at this level. Neural foramina are patent. C5-6: Small disc osteophyte complex. There is minimal narrowing of the spinal canal. Minimal narrowing of the bilateral neural foramina, left greater than right.C6-7: Small disc osteophyte complex and ligamentum flavum thickening. There is mild spinal canal stenosis. There is also mild left neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy. Right neural foramen is patent. There is subtle asymmetric STIR hyperintensity as well as mild enhancement involving the proximal aspect of the left C7 nerve root. No appreciable underlying mass. 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. Mild multilevel degenerative changes in the cervical spine with mild spinal canal stenosis at the C4-C5 and C6-C7 levels. There is also fairly mild neural foraminal narrowing at the C5-C6 and C6-C7 levels, left greater than right. 2. There is abnormal enhancement involving the proximal aspect of the left C7 nerve root which is nonspecific but may be secondary to the left C6-C7 neural foraminal stenosis and correspond to patient's radiculopathy.