New focal myoclonus in left leg Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine which are suboptimally evaluated due to motion degradation on multiple sequences. Individual levels as described below:C2-3: Minimal disc osteophyte complex and ligamentum flavum thickening. No significant compromise to the spinal canal or neural foramina.C3-4: Small disc osteophyte complex and ligamentum flavum thickening. Mild spinal canal narrowing. Neural foramina are patent.C4-5: Small disc osteophyte complex with mild narrowing of the left neural foramen related to uncovertebral hypertrophy and facet arthropathy. Right neural foramen is patent. There is also mild spinal canal stenosis.C5-6: Disc osteophyte complex and ligamentum flavum thickening with mild to moderate spinal canal stenosis. There is also mild to moderate bilateral neural foraminal stenosis related to uncovertebral hypertrophy and mild facet arthropathy.C6-7: Disc osteophyte complex and ligamentum flavum thickening contribute to mild spinal canal stenosis. There is mild left and minimal right neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina. Bilateral perineural cysts incidentally noted.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Right parotid gland is absent or completely replaced with fat. There is partial opacification of the bilateral mastoid air cells. Maxillary sinus opacification with fluid levels again seen.
1. Multilevel degenerative changes in the cervical spine relatively worse at the C5-C6 level where there is mild-to- moderate spinal canal stenosis and mild-to-moderate bilateral neural foraminal stenosis. 2. Mild spinal canal stenosis also present at the C3-C4, C4-C5, and C6-C7 levels. No higher grade spinal canal stenosis or cord signal abnormality.