Left foraminal narrowing. Left arm weakness. MS versus radiculopathy. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild retrolisthesis of C4 on C5 and C5 on C6 as well as mild anterolisthesis of C7 on T1 similar to prior. Bone marrow signal is benign with mildly edematous appearance of the C4 and C5 vertebra likely probably on a degenerative basis. Bone marrow signal is benign with fatty marrow signal changes from C5 to C7 as well as mild edema involving the C4 and C5 vertebral bodies which is likely on a degenerative basis. The cervical spinal cord has normal signal characteristics. No findings to suggest demyelinating disease in the cervical cord.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. Mild facet arthropathy. No significant spinal canal or neural foraminal stenosis.C4-5: Small disc osteophyte complex and uncovertebral hypertrophy. There is moderate to severe left neural foraminal stenosis and mild right neural foraminal stenosis, which appears minimally worse since prior. No significant spinal canal stenosis.C5-6: Small disc osteophyte complex and uncovertebral hypertrophy. There is moderate to severe left neural foraminal stenosis. There is mild right neural foraminal stenosis. Findings are similar to prior. There is mild spinal canal narrowing with partial effacement of the ventral and dorsal thecal sac. C6-7: Disc osteophyte complex and uncovertebral hypertrophy. There is severe bilateral neural foraminal stenosis, left slightly greater than right. There is mild to moderate spinal canal stenosis.C7-T1: Mild anterolisthesis and small disc osteophyte complex. There is uncovertebral hypertrophy and bilateral facet arthropathy. There is moderate spinal canal stenosis with mild deformity of the cord which is narrowed in the transverse dimension. There is severe bilateral neural foraminal stenoses. Findings are similar to prior.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. No cord signal abnormality or findings to suggest demyelinating disease in the cervical cord.2. Multilevel degenerative changes in the cervical spine with up to moderate spinal canal stenosis at the C7-T1 level, similar to prior. There is multilevel neural foraminal stenoses, severe at the bilateral C6-C7 and C7-T1 levels. Moderate to severe left C5-C6 and C4-C5 neural foraminal stenoses also noted. Overall degenerative changes are stable to minimally worse since MRI 2/21/2015.