Chronic neck pain with intermittent numbness in the upper extremities. Follow-up cervical spondylosis. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is kyphosis of the cervical spine with apex at C5-C6 similar to prior. There is also minimal C4 on C5 anterolisthesis as before. Bone marrow signal is benign. There is multilevel disc height loss, severe at the C6-C7 level but similar to prior.The cervical spinal cord has normal signal characteristics.There is developmental narrowing of the cervical spinal canal with superimposed degenerative changes which are suboptimally evaluated. Individual levels as below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Uncovertebral hypertrophy and facet arthropathy on the left contribute to mild to moderate left neural foraminal stenosis, stable to minimally worse in the interval with motion degradation limiting assessment. No significant spinal canal or right neural foraminal stenosis.C4-5: There is facet arthropathy on the right with suggestion of partial ankylosis. No significant spinal canal or neural foraminal stenosis. C5-C6: Small disc osteophyte complex including left-sided uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is mild left neural foraminal stenosis. No significant right neural foraminal narrowing. C6-C7: There is a disc osteophyte complex with suggestion of component of disc extrusion, but similar to prior. There is partial effacement of the ventral thecal sac. Otherwise no significant spinal canal stenosis. Neural foramina are also patent. C7-T1: Minimal disc osteophyte complex without spinal canal or neural foraminal stenosis.Paraspinous soft tissue structures appear grossly unremarkable.
1. Mild to moderate multilevel degenerative changes throughout the cervical spine without high-grade spinal canal or high-grade neural foraminal stenosis at any level.2. Motion degradation on the current study somewhat limits assessment however there is no gross change since prior MRI from 6/7/2012.3. Additional details as above.