Neck pain Examination is mildly degraded by artifact related to patient motion and dental hardware. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. 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 or neural foramina.C3-4: Central disc protrusion with effacement of the ventral thecal sac. Dorsal thecal sac is patent. No significant neural foraminal stenosis.C4-5: Right paracentral disc protrusion with effacement of the ventral thecal sac and minimal deformity of the right ventral cord. Dorsal thecal sac is patent. No significant neural foraminal stenosis.C5-6: There is a small disc osteophyte complex with uncovertebral hypertrophy. There is minimal spinal canal narrowing with effacement of the ventral thecal sac. Dorsal thecal sac is mildly effaced due to ligamentum flavum thickening. There is mild bilateral neural foraminal narrowing. C6-7: Small disc osteophyte complex with effacement of the ventral thecal sac. Dorsal thecal sac is patent. No significant neural foraminal stenosis. 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.
Mild multilevel degenerative changes in the cervical spine. There is minimal spinal canal narrowing from C3-C4 to the C6-C7 level with effacement of the ventral thecal sac. Dorsal thecal sac is patent. There is mild bilateral neural foraminal narrowing at C5-6. No high-grade spinal canal or high-grade neural foraminal stenosis at any level. No cord signal abnormality.