Pain in right shoulder and right hand numbness. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.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: No significant compromise to the spinal canal or neural foramina.C5-6: There is a right paracentral disc protrusion which effaces the ventral thecal sac and contacts the right ventral aspect of the cord. There is mild to moderate spinal canal stenosis involving the right aspect of the spinal canal at this level. Mild right neural foraminal narrowing. No significant left neural foraminal narrowing.C6-7: There is a right paracentral and foraminal disc extrusion which results in moderate to severe right foraminal stenosis. Left neural foramen is patent. There is mild to moderate spinal canal stenosis at this level. No cord signal abnormality.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.
Degenerative changes in the cervical spine at the C5-C6 and C6-C7 levels. There is a right paracentral C5-C6 disc protrusion with mild to moderate spinal canal stenosis involving the right aspect of the spinal canal at this level. There is also mild right neural foraminal narrowing at this level. At the C6-C7 level there is a disc extrusion which extends into the neural foramen and is associated with moderate to severe right-sided neural foraminal stenosis and suspected impingement of the right C7 nerve root. There is mild to moderate degree of spinal canal stenosis at this level. No cord signal abnormality.