Neck pain right worse than left with bilateral mild leg weakness and hyperreflexia. Evaluate for spondylosis with myelopathy. Examination is technically degraded due to patient motion. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has grossly normal signal characteristics and overall morphology within the limits of motion degradation.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: Loss of disc height, small disc osteophyte complex, and ligamentum flavum thickening with minimal spinal canal narrowing. There is uncovertebral hypertrophy resulting in mild left neural foraminal stenosis. No significant right neural foraminal narrowing. C5-6: Loss of disc height, small disc osteophyte complex and ligamentum flavum thickening with minimal spinal canal narrowing. Minimal bilateral neural foraminal narrowing.C6-7: Loss of disc height and disc bulge similar to prior with minimal spinal canal narrowing. There is mild bilateral neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.There is also mild generalized facet arthropathy. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Mild multilevel degenerative changes in the cervical spine which are similar to prior study from 7/18/2011. There is no high-grade spinal canal stenosis at any level or cord signal abnormality to explain patient's myelopathy. Please see details above.