Neck pain. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Vertebral body endplate degenerative signal changes are noted, predominantly in the lower cervical spine. Bone marrow signal is within normal limits. No evidence of traumatic injury. Ligamentous structures are intact.The cervical spinal cord has normal signal characteristics and overall morphology within the limits of motion degradation.There are mild disc osteophyte complexes throughout the cervical spine with ligamentum flavum thickening. Other 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: Mild bilateral facet arthropathy and left greater than right disc osteophyte complex resulting in mild left neural foraminal narrowing. No significant compromise to the spinal canal or right neural foramen.C4-5: Bilateral facet arthropathy resulting in mild left neural foraminal narrowing. No significant compromise to the spinal canal or right neural foramen.C5-6: Bilateral facet arthropathy with mild left neural foraminal narrowing. No significant compromise to the spinal canal.C6-7: Mild to moderate bilateral facet arthropathy with mild to moderate left neural foraminal narrowing. No significant compromise to the spinal canal or right neural foramen.C7-T1: Bilateral facet arthropathy with mild to moderate left and mild right neural foraminal narrowing. No significant compromise to the spinal canal.Images are technically degraded, which limits the ability to evaluate the vertebral artery flow voids. Paraspinous soft tissue structures appear within normal limits. The nasogastric tube is partially visualized. Scarring at the lung apices is again noted. The right cerebellar hemisphere infarct is partially visualized.
1. No evidence of traumatic injury in the cervical spine.2. Mild multilevel degenerative changes, as detailed above, without high-grade stenosis at any level.3. Normal vertebral artery flow voids are not well seen, at least in part related to the motion degradation. Dedicated vascular imaging of the neck can be considered as clinically indicated. 