62-year-old male with neck pain and shoulder pain and weakness/numbness. Suspect C6 radiculopathy. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis. There is mild retrolisthesis of C5 on C6. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.Multilevel degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or left neural foramina. Uncovertebral hypertrophy on the right results in minimal right neural foraminal narrowing.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or left neural foramen. Mild to moderate right neural foraminal narrowing related to uncovertebral hypertrophy.C5-6: Disc osteophyte complex and prominent uncovertebral hypertrophy on the right result in moderate to severe right neural foraminal stenosis. Minimal left neural foraminal narrowing.C6-7: Small disc osteophyte complex and mild uncovertebral hypertrophy. No significant spinal canal or neural foraminal narrowing.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 as detailed above. There is moderate to severe right C5-C6 neural foraminal stenosis which may be impinging on the right C6 nerve root. There is also mild to moderate right C4-C5 neural foraminal narrowing.