46-year-old female with right neck and arm pain and tingling in right 1-3rd digits. Evaluate for degenerative changes. The craniovertebral junction appears within normal limits. There is straightening of the cervical spine with minimal retrolisthesis of the of the C6 vertebral body on C7. The vertebral body heights are maintained. The bone marrow signal is within normal limits. There is variable disc height loss most prominent at the lower cervical levels and there is multilevel disc desiccation. 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: Small disc osteophyte complex with a small central component and mild right neuroforaminal narrowing but no left neuroforaminal or spinal canal stenosis.C4-5: Small disc osteophyte complex causes minimal bilateral neuroforaminal narrowing. There is mild spinal canal stenosis.C5-6: Disc osteophyte complex with a prominent right paracentral disc extrusion which causes moderate to severe right neuroforaminal stenosis. There is moderate left neural foraminal narrowing as well as moderate spinal canal stenosis particularly involving the right aspect of the spinal canal.C6-7: Disc osteophyte complex with a prominent right paracentral disc extrusion which extends to the lower C7 level and causes severe right neuroforaminal stenosis. There is mild left neuroforaminal narrowing as well as moderate spinal canal stenosis particularly involving the right aspect of the spinal canal. 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.
Multilevel spondylosis and prominent right paracentral disc extrusions involving the C5-6 and C6-7 levels with resultant moderate spinal canal stenosis involving the right aspect of the spinal canal. No cord signal abnormality. The disc extrusions also contribute to moderate to severe right neural foraminal stenosis at the C5-6 level and severe right neural foraminal stenosis at the C6-7 level.