Pain at C7-C8 with radiation to arms. At C7-T1, there is a prominent left facet spur, which results in mild narrowing of the neural foramen. There is no significant right neural foramen or spinal canal stenosis at this level. At C6-C7, there is a posterior disc osteophyte complex that results in slight left and significant right neural foraminal narrowing. However, there is no significant spinal canal stenosis at this level. At C5-C6, there is a posterior disc-osteophyte complex that results in marked bilateral neural foramen narrowing. However, there is no significant spinal canal stenosis at this level. At C4-5, there is right uncovertebral hypertrophy that results in mild right neural foramen narrowing. However, there is no significant spinal canal or left neural foramen stenosis at this level. At C3-4, there is a posterior disc-osteophyte complex that mildly narrows the bilateral neural foramina. However, there is no significant spinal canal stenosis at this level. At C2-3, there is no significant spinal canal or neural foraminal stenosis. The C1-2 and C1-occiput articulations are intact. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Multilevel degenerative cervical spondylosis, including mild narrowing of the neural foramen at C7-T1 and marked bilateral neural foramen narrowing at C6-C7.