Right upper extremity and left lower extremity weakness. Is there cervical stenosis? Multiple sequences are motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild anterolisthesis of C6 on C7 as seen before. Alignment is otherwise maintained. Bone marrow signal is within normal limits. There is no convincing cord signal abnormality, within the limitations of the motion artifact.Degenerative changes are seen in the cervical spine as described below:C2-3: Small disc disc bulge and uncovertebral osteophytes. No significant compromise to the spinal canal or neural foramina.C3-4: Disc bulge, uncovertebral hypertrophy, and ligamentum flavum thickening contribute to moderate spinal canal stenosis. There is no significant neural foraminal stenosis.C4-5: There is disc bulge eccentric to the right and uncovertebral hypertrophy. There is up to moderate spinal canal stenosis, relatively worse involving the right aspect of the spinal canal. There is moderate right and mild left neural foraminal stenosis.C5-6: There is disc bulge and uncovertebral hypertrophy with mild spinal canal stenosis at this level. There is also mild to moderate right and mild left neural foraminal stenosis.C6-7: There is mild anterolisthesis with disc uncovering and and facet arthropathy. There is no significant spinal canal stenosis. There is mild bilateral neural foraminal narrowing.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 with up to moderate spinal canal stenosis at the C3-C4 and right C4-C5 levels. No definite cord signal abnormality is appreciated within the limitations of motion degraded study. Multilevel neural foraminal narrowing as detailed above.