Neuropathy and weakness in fingers, evaluate for herniated disc. Neck pain, right arm pain. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is reversal of normal cervical lordosis with kyphotic angulation centered at the C5-C6 level. Alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics.Mild 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: No significant compromise to the spinal canal or neural foramina.C4-5: There is a kyphosis centered at this level along with a disc bulge which results in effacement of the ventral thecal sac and mild impression on the ventral aspect of the cord. Dorsal thecal sac is preserved with overall no significant spinal canal stenosis. Neural foramina are patent. No cord signal abnormality.C5-6: Mild disc bulge with small right foraminal disc protrusion. No significant compromise to the spinal canal or left neural foramen. Mild right neural foraminal narrowing.C6-7: No significant compromise to the spinal canal or neural foramina.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.
1. There is kyphosis of the cervical spine with apex at the C5-C6 level which in combination with a disc bulge at this level results in mild impression on the ventral aspect of the cervical cord. No significant spinal canal stenosis at this level overall or neural foraminal stenosis. No cord signal abnormality. 2. Small right foraminal disc protrusion at the C6-C7 level with mild narrowing of the right neural foramen.