Reason: neck pain History: neck pain The cranial-cervical junction is normal. There is straightening of the cervical spine. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. There is disc desiccation at all levels of the cervical spine. The paraspinal soft tissues are unremarkable. There is fluid within the right mastoid air cells.There is developmental narrowing of the cervical spinal canal with superimposed degenerative changes as follows: C2-C3: There is disc bulge and facet hypertrophy with mild spinal canal stenosis. No significant neuroforaminal narrowing. C3-C4: There is disc bulge, which is slightly eccentric to the right, and facet hypertrophy with moderate narrowing of the right neuroforamen but no significant compromise to the left neuroforamen or spinal canal.C4-C5: There is disc bulge and facet hypertrophy with mild narrowing of the right neuroforamen but no significant compromise to the left neuroforamen or spinal canal.C5-C6: There is relatively large disc protrusion and facet hypertrophy with moderate narrowing of the spinal canal, with left greater than right effacement of the thecal sac and indentation of the left ventral cord. There is also mild to moderate narrowing of both neuroforamina. C6-C7: There is disc bulge and facet hypertrophy resulting in moderate narrowing of the neuroforamina. There is no significant compromise spinal canal.C7-T1: No neuroforaminal narrowing or spinal stenosis.
Multilevel spondylotic changes affect cervical spine, most pronounced at C4-5, where there is moderate spinal canal stenosis related to a prominent disc protrusion, and at C6-7, where there is moderate narrowing of the bilateral neuroforamina. 