Upper extremity shooting pain, evaluate for disc herniation Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild reversal of cervical lordosis with apex at the C4-C5 level. Alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.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: Minimal disc bulge without significant spinal canal narrowing. There is minimal bilateral neural foraminal narrowing. C4-5: Disc osteophyte complex with dorsal annular fissure and right-sided uncovertebral hypertrophy resulting in mild right-sided foraminal narrowing. There is mild spinal canal stenosis with effacement of the ventral thecal sac with mild indentation of the right ventral cord. Dorsal thecal sac is preserved. Left neural foramen is patent.C5-6: Small disc osteophyte complex including uncovertebral hypertrophy on the right resulting in mild right neural foraminal narrowing. Mild spinal canal narrowing. No significant left neural foraminal narrowing.C6-7: Small disc osteophyte complex eccentric to the left including uncovertebral hypertrophy. There is mild left neural foraminal narrowing. No significant spinal canal or right neural foraminal narrowing.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. 11 mm right parotid nodule with T1 and T2 hyperintensity which may represent a small lipoma but not well evaluated.
Mild multilevel degenerative changes in the cervical spine. There is mild spinal canal narrowing at C4-C5 and C5-C6. Mild neural foraminal narrowing at multiple levels as detailed above.