Neck pain. Evaluate for progression of cervical stenosis. Overview: There is reversal of the normal cervical lordosis, but no significant spondylolisthesis. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable accounting for minimal degenerative signal subjacent to the inferior C4 and C5 endplates. There is multilevel degenerative spondylosis. At C2-C3, there is a small central disc-osteophyte complex, but no significant spinal canal or foraminal stenosis. At C3-C4, there is a small central disc-osteophyte and mild uncovertebral arthropathy, but no significant spinal canal or foraminal stenosis. At C4-C5, a disc-osteophyte complex slightly indents the spinal cord without signal abnormality. Left greater than right uncovertebral arthropathy results in moderate bilateral right foraminal stenosis. At C5-C6, a disc-osteophyte complex mildly indents the spinal cord without cord signal abnormality. Bilateral uncovertebral arthropathy results in mild-to-moderate left spinal canal stenosis and mild-to-moderate bilateral foraminal stenoses. At C6-C7, a disc-osteophyte complex mildly indents the spinal cord without cord signal abnormality. There is also uncovertebral arthropathy that results in moderate bilateral neural foraminal stenoses. At C7-T1, there is no significant spinal canal stenosis. However, uncovertebral arthropathy result in moderate to severe right and moderate left neural foraminal stenoses. The paravertebral soft tissues are unremarkable.
Multilevel degenerative cervical spondylosis, which overall appears similar in degree as in July 2014.