Pain and numbness. Evidence of radiculopathy any injury. Examination is mildly motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Mild degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: Small left paracentral and foraminal disc protrusion which effaces the left ventral thecal sac and mildly narrows the proximal left neural foramen. No significant right neural foraminal narrowing.C5-6: Loss of disc height with associated endplate marrow signal changes. Small disc osteophyte complex which effaces the ventral thecal sac and causes mild spinal canal stenosis. No significant compromise to the right neural foramen. Minimal left neural foraminal narrowing related to uncovertebral hypertrophy.C6-7: Mild disc bulge with partial effacement of the ventral thecal sac. No significant compromise to the neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Mild degenerative changes in the cervical spine at the C4-C5, C5-C6, and C6-C7 levels as detailed above. There is mild spinal canal narrowing at these levels.. There is mild narrowing of the proximal left C4-C5 neural foramen and minimal left C5-C6 neural foramen.