Left upper extremity radiculopathy, C6-C7 distribution. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from minimal retrolisthesis of C5 on C6. Bone marrow signal is within normal limits. Examination is motion degraded and in adequate to assess for cord signal abnormality. No definite cord signal abnormality however is appreciated. Degenerative changes are seen in the cervical spine as described below:C2-3: Minimal disc bulge and ligamentum flavum thickening. No significant compromise to the spinal canal or neural foramina.C3-4: Mild disc bulge and ligamentum flavum thickening. No significant compromise to the spinal canal or neural foramina.C4-5: Small central disc protrusion and ligamentum flavum thickening with mild spinal canal stenosis. Minimal right neural foraminal narrowing related to uncovertebral hypertrophy. Otherwise no significant neural foraminal stenosis.C5-6: Disc osteophyte complex including a small central disc extrusion which along with ligamentum flavum thickening contributes to mild to moderate spinal canal stenosis. There is mild impression on the ventral cord. There is mild to moderate right and mild left neural foraminal stenosis related to uncovertebral hypertrophy.C6-7: Disc osteophyte complex including disc bulge and bilateral uncovertebral hypertrophy. Mild ligamentum flavum thickening. There is mild spinal canal stenosis. There is moderate left and mild right neural foraminal stenosis.C7-T1: Minimal disc bulge without significant spinal canal stenosis. There is mild left neural foraminal narrowing related to uncovertebral hypertrophy. Right neural foramen is patent. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Mild to moderate degenerative changes throughout the cervical spine relatively worse at the C5-C6 and C6-C7 levels. There is moderate left neural foraminal stenosis at C6-C7 where there may be impingement of the left C7 nerve root.2. Motion degradation limits evaluation for cord signal abnormality. No definite cord signal abnormality however is appreciated within this limitation. Additional details as above.