Neck pain with radicular pain, clumsiness, and signs of myelopathy. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Cervical lordosis is maintained. There is minimal retrolisthesis of C4 on C5 and C5 on C6. Bone marrow signal is benign with small focus of T1 hyperintensity involving the C4 vertebral body compatible with focus of fat or small hemangioma.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 right neural foramen. Left-sided facet arthropathy with associated mild left neural foraminal stenosis.C3-4: Small central disc protrusion. No significant compromise to the spinal canal. There is mild right neural foraminal stenosis related to mild uncovertebral hypertrophy and facet arthropathy. Left neural foramen is patent. Bilateral facet arthropathy, worse on the left.C4-5: Small disc osteophyte complex and ligamentum flavum thickening with minimal narrowing of the spinal canal at this level. There is mild to moderate right and minimal left neural neural foraminal narrowing.C5-6: Disc osteophyte complex and ligamentum flavum thickening contribute to mild to moderate degree of spinal canal stenosis. There is mild bilateral neural foraminal stenosis. C6-7: Small disc osteophyte complex and ligamentum flavum thickening with mild spinal canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis. 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. There is a 5 mm nodule along the medial aspect of the inferior right thyroid lobe.
1. Degenerative changes in the cervical spine, worst at the C5-C6 level where there is mild to moderate degree of spinal canal stenosis. No cord signal abnormality. There is also mild spinal canal stenosis present at C6-C7 and minimal at C4-C5. 2. Multilevel neural foraminal stenoses as above.