Cervicalgia, numbness in C5 region, nerve impingement? Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is reversal of cervical lordosis centered at the C5-C6 level. There is mild anterolisthesis at C5-C6. Bone marrow signal is benign without suspicious osseous lesions evident. There is mild to moderate degree of multilevel facet arthropathy, relatively worse at the left C3-C4 and C4-C5 levels.There is mild deformity of the cervical cord contour related to above-mentioned alignment and prominent disc osteophyte complex at C5-C6. No cord signal abnormality. Additional details about degenerative changes as described below although note neural foraminal stenosis is difficult to accurately assess: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or right neural foramen. There is mild to moderate degree of left-sided neural foraminal stenosis related to facet arthropathy and uncovertebral hypertrophy.C4-5: There appears to be moderate left-sided and to a slightly lesser degree right neural foraminal stenosis. There is effacement of the ventral thecal sac without significant spinal canal stenosis overall at this level.C5-6: There is a disc osteophyte complex with moderate associated spinal canal stenosis without cord signal abnormality. There appears to be moderate to severe right and moderate left neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy. C6-7: Small disc osteophyte complex and ligamentum flavum thickening with mild spinal canal stenosis. There also appears to be moderate to severe right and moderate left neural foraminal stenosis related to uncovertebral hypertrophy.C7-T1: Mild to moderate bilateral neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy. No significant spinal canal stenosis.Paraspinous soft tissue structures appear grossly within normal limits.
Multilevel degenerative changes in the cervical spine with up to moderate spinal canal stenosis at the C5-C6 level. No cord signal abnormality. There is multilevel neural foraminal stenoses with suspected impingement of the exiting nerve roots but not accurately assessed due to the motion degradation. Patient had difficulty tolerating the study as described in the technique section.