38-year-old female with history of lumbar radiculopathy, now with left-sided shoulder pain and weakness Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of normal cervical lordosis with mild kyphotic angulation centered at the C5-C6 level. Minimal anterolisthesis of C4 on C5. Bone marrow signal is benign with STIR hyperintensity involving the C5-C7 vertebral bodies likely on a degenerative basis..The cervical spinal cord has normal signal characteristics.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. Minimal right neural foraminal narrowing. No left neural foraminal narrowing. C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: There is a disc osteophyte complex and prominent left uncovertebral spur with moderate to severe narrowing of the left neural foramen. There is mild narrowing of the spinal canal at this level. Mild right neural foraminal narrowing. C6-7: There is disc osteophyte complex and bilateral uncovertebral hypertrophy with moderate right and moderate to severe left neural foraminal narrowing. Minimal narrowing of the spinal canal. 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.
Degenerative changes in the cervical spine, particularly at the C5-C6 and C6-C7 levels as detailed above. There is prominent left-sided uncovertebral hypertrophy at these levels with associated moderate to severe left neural foraminal stenosis. There may be impingement of the left C6 and C7 nerve roots.