37-year-old female with weakness in the right side. Evaluate for cord compression or lesions. The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained with a developmentally slender spinal canal. The cervical vertebral bodies are maintained. There is diffuse decreased marrow signal but no focal worrisome signal abnormality. There is no abnormal enhancement or STIR signal abnormality. There is mild disc height loss most prominently involving the C3-4, C4-5 and C6-7 levels. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.Interspace observations:C2-3: Small disc osteophyte complex mild facet hypertrophy. No neuroforaminal or spinal canal stenosis.C3-4: Small disc osteophyte complex. No neuroforaminal narrowing. Mild spinal canal stenosis.C4-5: Disc osteophyte complex and right paracentral disc extrusion with mild inferior migration. Mild facet hypertrophy. No significant neural foraminal narrowing. Up to moderate spinal canal stenosis with mild flattening of the right ventral aspect of the spinal cord.C5-6: Disc osteophyte complex greater along the left paracentral region. Mild facet hypertrophy. No neural foraminal narrowing. Mild to moderate spinal canal stenosis with mild flattening of the ventral left aspect of the spinal cord. C6-7: Disc osteophyte complex and facet hypertrophy. No neural foraminal narrowing. No significant spinal canal stenosis. C7-T1: No significant neural foraminal or spinal canal stenosis.
Multilevel degenerative changes and developmentally slender canal most predominantly involving C4-5 level where there is moderate spinal canal stenosis with mild flattening of the right ventral aspect of the spinal cord from a right paracentral disc extrusion. There is no cord signal abnormality.