56-year-old male with history of C6 radiculopathy. The cranial-cervical junction is normal. There is normal cervical lordosis. There is minimal retrolisthesis at C4-5. The cervical spine alignment is otherwise anatomic. The vertebral body height is preserved. Bone marrow signal is benign with degenerative endplate marrow changes. Artifact slightly limits evaluation; no definite cord signal abnormality. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: C2-C3: No significant disc disease. No neuroforaminal narrowing or spinal stenosis. C3-C4: No significant disc disease. No neuroforaminal narrowing or spinal stenosis. C4-C5: There is a small disc-osteophyte complex, mild uncovertebral hypertrophy, and ligamentum flavum thickening resulting in mild spinal canal narrowing and mild bilateral neural foraminal narrowing, worse on the right.C5-C6: There is disc space narrowing, disc-osteophyte complex, uncovertebral hypertrophy and ligamentum flavum thickening resulting in moderate spinal canal narrowing. There is mild to moderate left and mild right neural foraminal narrowing.C6-C7: There is disc space narrowing, disc-osteophyte complex, uncovertebral hypertrophy and ligamentum flavum thickening resulting in mild spinal canal narrowing. There is moderate left and mild to moderate right neural foraminal narrowing.C7-T1: No significant disc disease. No neuroforaminal narrowing or spinal stenosis.
Multilevel degenerative changes with disc osteophyte complexes from C4-5 to C6-7. There is up to moderate spinal canal stenosis at C5-6 without cord signal abnormality. There is up to moderate left neural foraminal narrowing at C5-6 and C6-7 as detailed above (relatively worse at C6-7) which may be impinging on the left C6 and C7 nerve roots, respectively.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.