Shoulder and arm pain, evaluate for cervical radiculopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is reversal of cervical lordosis with kyphotic angulation noted with apex at the C4-C5 level. Mild C3-C4 anterolisthesis. Bone marrow signal is benign. The cervical spinal cord demonstrates no signal abnormality.Degenerative changes are seen in the cervical spine with disc space narrowing at the C3-C4, C4-C5, C5-C6, and C6-C7 levels and multilevel facet arthropathy. Individual levels as described below:C2-3: No significant spinal canal stenosis. Effacement of the dorsal thecal sac related to ligamentum flavum laxity. Mild right and moderate left neural foraminal narrowing related to facet arthropathy and uncovertebral hypertrophy.C3-4: There is disc osteophyte complex and mild anterolisthesis. There is partial effacement of the ventral and dorsal thecal sac resulting in mild spinal canal narrowing. There is prominent uncovertebral hypertrophy with moderate right greater than left neural foraminal stenosis. C4-5: Disc osteophyte complex and ligamentum flavum laxity, and prominent uncovertebral hypertrophy result in moderate to severe bilateral neural foraminal stenosis. There is moderate spinal canal stenosis, particularly on the left.C5-6: Disc osteophyte complex including prominent right paracentral component with moderate to severe spinal canal stenosis on the right with some flattening of the cord. Ligamentum flavum laxity. There is also moderate to severe right and mild-to-moderate left neural foraminal stenosis.C6-7: Disc osteophyte complex and ligamentum flavum laxity resulting in up to moderate spinal canal stenosis. There is also moderate bilateral neural foraminal stenosis.C7-T1: Uncovertebral hypertrophy and small right foraminal disc protrusion with mild to moderate narrowing of the right neural foramen. No significant spinal canal stenosis or left neural foraminal narrowing.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Moderate degenerative changes throughout the cervical spine with kyphotic angulation and multilevel disc osteophyte complexes.2. There is moderate spinal canal stenosis at C4-C5, C5-C6, and C6-C7. Findings are worst at the C5-C6 level where there is flattening of the right aspect of the cord and moderate to severe right neural foraminal stenosis. Moderate foraminal narrowing at additional levels as above.