Tingling and numbness in third and fourth digits bilaterally Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild retrolisthesis of C5 on C6. Alignment is otherwise 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: No significant compromise to the spinal canal or neural foramina.C5-6: There is mild retrolisthesis and small disc osteophyte complex which contribute to mild spinal canal narrowing. There is also uncovertebral hypertrophy on the right. There is resulting moderate right and mild left neural foraminal stenosis. There is abnormal low T2 signal dorsal to the C6 vertebral body which is suspected to represent subacute ligamentous disc extrusion and contributes to partial effacement of the ventral thecal sac centrally.C6-7: There is a disc osteophyte complex with bilateral uncovertebral hypertrophy and mild ligamentum flavum thickening. There is resulting mild spinal canal stenosis. There is uncovertebral hypertrophy which contributes to mild right and moderate left 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. Degenerative changes at the C5-C6 and C6-C7 levels with mild spinal canal stenosis at these levels. There is abnormal signal dorsal to the C6 vertebral body which may reflect subligamentous extruded disc material and contributes to the mild spinal canal stenosis at this level. 2. There is moderate right C5-C6 and moderate left C6-C7 neural foraminal stenosis. There is also mild left C5-C6 and mild right C6-C7 neural foraminal stenosis. These findings may be contributing to patient's radiculopathy.