Reason: evaluate for etiology of chronic neck and right parascapular pain History: pain in posterior shoulder, neck and right parascapular region Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild retrolisthesis of C5 on C6. Alignment is otherwise 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. Bilateral facet arthropathy.C3-4: Minimal disc bulge and ligamentum flavum thickening. Minimal spinal canal narrowing. No significant neural foraminal stenosis. Mild facet arthropathy.C4-5: No significant compromise to the spinal canal or neural foramina. Mild facet arthropathy.C5-6: Disc osteophyte complex, ligamentum flavum thickening, and uncovertebral hypertrophy. There is mild to moderate spinal canal stenosis. There is mild right sided neural foraminal stenosis. No significant left neural foraminal narrowing.C6-7: Disc osteophyte complex, ligamentum flavum thickening, and uncovertebral hypertrophy. There is mild to moderate spinal canal stenosis. There is mild right sided neural foraminal stenosis. No significant left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina. Facet arthropathy, particularly on the left.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 as detailed above. There is mild to moderate spinal canal stenosis at C5-C6 and C6-C7. There is mild right C5-C6 and C6-C7 neural foraminal stenosis. No high-grade neural foraminal narrowing at any level. There is also facet arthropathy at multiple levels which may be contributing to patient's neck pain.