Cervical pain (stenosis). Weakness. The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and morphology. At C2-3, there is small anterior indentation of the thecal sac by definitive disc-osteophyte complex which also mildly deforms the spinal cord, but without abnormal signal. The neural foramina are preserved. At C3-4, a disc-osteophyte complex causes moderate size anterior indentation of the thecal sac deforming the underlying spinal cord. The neural foramina are preserved. At C4-5, a disc-osteophyte complex causes mild thecal sac indentation and minimal spinal cord deformity. Associated right-sided uncovertebral proliferative change causes mild narrowing of the neural foramen. At C5-6, there is slight indentation the thecal sac by disc-osteophyte complex results in mild canal narrowing but no cord deformity. The neural foramina are preserved. At C6-7, there is minimal anterior indentation of the thecal sac by disc-osteophyte complex. In addition, there is mild bilateral uncovertebral process hypertrophy, but no significant neural foraminal narrowing. At C7-T1, there is no significant spinal or foraminal narrowing. The vertebral artery flow voids appear to be intact. The paravertebral soft tissues are unremarkable.
Relatively mild multilevel cervical degenerative disease that is most pronounced at C3-C4 level, with mild-to-moderate spinal narrowing. There is no spinal cord signal abnormality. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.