Right arm numbness. The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained and the cervical vertebral body heights are intact. There is mild multilevel disc height loss. At C2-3 and C7-T1, there is no significant compromise to the spinal canal or neural foramina. At C3-4, there is a disc osteophyte complex and small right foraminal disc protrusion with facet hypertrophy, mild spinal canal stenosis and mild right neural foraminal narrowing. At C4-5, there is a disc osteophyte complex, facet hypertrophy and moderate right neural foraminal narrowing. There is no left neuroforaminal spinal canal stenosis at this level. At C5-6, there is a disc osteophyte complex and facet hypertrophy with moderate left neuroforaminal narrowing. There is no spinal canal stenosis at this level. At C6-7, there a disc osteophyte complex and facet hypertrophy with mild spinal canal stenosis and moderate to severe bilateral neural foraminal narrowing. The bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative cervical spondylosis of the cervical spine most prominently involving the bilateral C5-6 and C6-7 neural foramina, left worse than right, as well as at most mild spinal canal stenosis at the C3-4 and C6-7 levels.