Neck pain, radiculopathy Craniovertebral junction appears within normal limits with small amount of retro-odontoid soft tissue thickening without significant spinal stenosis. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis. There is grade 1 anterolisthesis of C4 on C5 and approximately 3 mm retrolisthesis of C5 on C6. Alignment is otherwise maintained. Bone marrow signal is benign.Abnormal T2 signal is noted within the bilaterally at the C5-C6 level. No abnormal signal seen within the remainder of the cord.There are multilevel degenerative changes, individual levels as below:C2-3: Small central disc protrusion and mild left-sided facet arthropathy. No significant compromise to the spinal canal or neural foramina. C3-4: Small central protrusion and left-sided facet arthropathy. No significant compromise to the spinal canal or neural foramina. C4-5: Small central protrusion and bilateral facet arthropathy. Mild spinal canal narrowing with partial effacement of the ventral and dorsal thecal sacs. There is also mild bilateral neural foraminal stenosis.C5-6: There is loss of disc height, bilateral paracentral disc protrusion and bilateral uncovertebral hypertrophy. There is moderate to severe spinal canal stenosis including indentation on the ventral cord. There is abnormal T2 signal in the cord just inferior to this level. Moderate to severe left and moderate right neural foraminal stenosis. Bilateral facet arthropathy.C6-7: There is a central disc protrusion with mild spinal canal stenosis. There is there is minimal right and no significant left neural foraminal stenosis. Bilateral facet arthropathy.C7-T1: No significant compromise to the spinal canal or neural foramina. Bilateral facet arthropathy, worse on the left.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes in the cervical spine, worst at the C5-C6 level where there is moderate to severe spinal canal stenosis, abnormal cord signal likely representing myelomalacia, and moderate to severe left and moderate right neural foraminal stenosis. Additional levels as above.