64-year-old female with neck pain, numbness in the bilateral second digits of the hands status post fall. Evaluate for herniation at the C7-C8 level. Examination is limited due to motion artifact.There is reversal of normal cervical lordosis. Craniocervical junction is intact with no evidence of ligamentous injury. Multilevel degenerative changes with Modic type signal abnormalities within the vertebral body endplates, otherwise marrow signal is unremarkable. Spinal cord signal is unremarkable. There is mild developmental narrowing of the spinal canal diffusely.At C2-C3 there is a central disc protrusion and bilateral uncovertebral hypertrophy. At C3-C4 there is left facet hypertrophy and uncovertebral hypertrophy. There is mild left neural foraminal stenosis. No significant spinal canal stenosis.At C4-C5 there is central disc protrusion with associated flattening of the ventral canal. There is bilateral uncovertebral hypertrophy. There is mild left neural foraminal stenosis and no significant spinal canal stenosis.At C5-C6 there is diffuse disc osteophyte complex as well as left paracentral disc protrusion with associated flattening of the left ventral cord. There is bilateral uncovertebral hypertrophy. There is mild-to-moderate right and moderate left neural foraminal stenosis. There is mild to moderate spinal canal stenosis.At C6-C7 there is disc osteophyte complex and bilateral uncovertebral hypertrophy. There is moderate to severe bilateral neural foraminal stenosis as well as moderate spinal canal stenosis.At C7-T1 there is disc osteophyte complex abutting the ventral cord as well as uncovertebral and ligamentum flavum hypertrophy. There is moderate to severe left neural foraminal stenosis. No significant spinal canal stenosis.
Multilevel degenerative changes, most conspicuous at C6-C7 where there is moderate to severe bilateral neural foraminal stenosis and moderate spinal canal stenosis. Moderate-severe left foraminal narrowing at C7-T1.