Bilateral arm radicular symptoms, rule out cervical pathology/herniated disc. Left shoulder pain. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild loss of cervical lordosis. There is mild retrolisthesis of C6 on C7. Bone marrow signal is benign.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: Small disc osteophyte complex and uncovertebral hypertrophy. No significant spinal canal stenosis. Mild right greater than left neural foraminal narrowing.C4-5: Small disc osteophyte complex and uncovertebral hypertrophy, particularly on the right. No significant canal stenosis. There is moderate to severe right neural foraminal stenosis and mild left neural foraminal narrowing.C5-6: Small disc osteophyte complex and mild bilateral uncovertebral hypertrophy. No significant spinal canal stenosis. Mild left greater than right neural foraminal stenosis.C6-7: Small disc osteophyte complex, uncovertebral hypertrophy, and mild retrolisthesis. No significant spinal canal stenosis. There is mild to moderate left and mild right 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.
Multilevel degenerative changes in the cervical spine with multi-level neural foraminal narrowing as described above, relatively worse at the right C4-C5 and left C6-C7 levels. No significant spinal canal stenosis.