Bilateral hand grip weakness and tingling to right arm and hand Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained aside from mild retrolisthesis of C4 on C5 and anterolisthesis of C5 on C6. Bone marrow signal is benign with interval increase in edema involving the C4 and upper C5 vertebral bodies, which is most likely on a degenerative basis. 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. There is moderate left and mild right neural foraminal narrowing related to facet arthropathy on the left and mild uncovertebral hypertrophy.C3-4: Previously seen disc bulge is improved without significant spinal canal at this level on the current study. There is moderate bilateral neural foraminal stenosis related to facet arthropathy and uncovertebral hypertrophy.C4-5: There is a disc bulge, ligamentum flavum thickening, and bilateral uncovertebral hypertrophy. There is mild to moderate spinal canal stenosis at this level which is progressed since 11/27/2013. There is moderate right and mild left neural foraminal stenosis. C5-6: Small disc bulge. No significant spinal canal stenosis. There is moderate bilateral neural foraminal stenosis related to uncovertebral hypertrophy and left-sided facet arthropathy.C6-7: Small disc bulge without significant spinal canal stenosis. There is bilateral uncovertebral hypertrophy resulting in moderate bilateral neural foraminal narrowing. C7-T1: No significant compromise to the spinal canal or neural foramina. There is right-sided facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine. There is mild to moderate spinal canal stenosis at the C4-C5 level which is worse compared to prior study from 11/27/2013. No higher grade spinal canal stenosis or cord signal abnormality is appreciated.2. Moderate neural foraminal stenosis at multiple levels throughout the cervical spine as detailed above.