Left upper extremity weakness and brisk reflexes at the patella Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina. Right-sided facet arthropathy.C3-4: Small central disc osteophyte complex and right uncovertebral hypertrophy. There is mild spinal canal narrowing at this level. There is mild right and no significant left neural foraminal stenosis. Right greater than left facet arthropathy.C4-5: Central disc osteophyte complex and ligamentum flavum thickening result in moderate spinal canal stenosis at this level. There is moderate left and mild right neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy.C5-6: There is prominent right paracentral disc osteophyte complex which deforms the cord, right worse in left, with moderate to severe spinal canal stenosis. There is subtle T2 hyperintensity within the cervical cord in the right aspect of the cord, sagittal T2 image 8. Ligamentum flavum thickening also noted which effaces the dorsal thecal sac. There is mild right and mild to moderate left bilateral neural foraminal stenosis. Mild bilateral facet arthropathy.C6-7: There is small right paracentral disc osteophyte complex and mild ligamentum flavum thickening. There is mild to moderate spinal canal stenosis particularly involving the right aspect of the spinal canal. There is also uncovertebral hypertrophy resulting in mild to moderate bilateral neural foraminal stenosis. C7-T1: There is a right paracentral disc osteophyte complex with no significant spinal canal stenosis at this level. There is mild to moderate right and no significant left neural foraminal stenosis. Facet arthropathy on the left.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes throughout the cervical spine. There is moderate to severe spinal canal stenosis at the C5-C6 level, particularly involving the right aspect of the spinal canal. Associated subtle T2 hyperintensity within the cord is suspected. There is also moderate spinal canal stenosis at C4-C5. 2. There is also multilevel neural foraminal stenoses, relatively worst at the left C4-C5 level. Please see details above.