Neck pain, right arm numbness/tingling. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from straightening of the cervical curvature. Bone marrow signal is benign. There is abnormal T2 hyperintensity involving the left aspect of the cervical cord at the C3-C4 level with suggestion of volume loss likely representing myelomalacia.There is developmental narrowing of the cervical spinal canal with superimposed degenerative changes as described below:C2-3: Small right paracentral disc protrusion which mildly indents the right ventral aspect of the cord. There is overall mild to moderate spinal canal stenosis at this level. Neural foramina are patent. C3-4: Left paracentral and foraminal disc osteophyte complex with moderate degree of spinal canal stenosis, particularly involving the left aspect of the spinal canal. There is also moderate left and mild right neural foraminal stenosis.C4-5: Small disc osteophyte complex with mild to moderate spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis.C5-6: Disc osteophyte complex with moderate spinal canal stenosis. There is mild bilateral neural foraminal stenosis.C6-7: There is a right paracentral disc osteophyte complex with moderate spinal canal stenosis, particularly involving the right aspect of the spinal canal where there is also partial flattening of the cervical cord. There is mild to moderate proximal right neural foraminal stenosis. Left neural foramen is patent.C7-T1: Small disc osteophyte complex without significant spinal canal stenosis. There is mild to moderate right neural foraminal stenosis. Mild narrowing of the left neural foramen.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 with moderate spinal canal stenosis at the C3-C4, C5-C6, and C6-C7 levels and to a milder degree at the C4-C5 and C2-C3 levels.2. There is small focus of T2 signal abnormality involving the left aspect of the cervical cord at the C3-C4 level with volume loss consistent with myelomalacia.3. Multilevel neural foraminal stenoses as detailed above.