58 yo with history of neck surgery, now with chronic neck pain and bilateral radicular symptoms. Evaluate for disk disease and/or nerve impingement. Patient's body habitus limits image quality. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate height. Alignment is 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: No significant compromise to the spinal canal or neural foramina.C4-5: Small disk osteophyte complex and uncovertebral hypertrophy is seen. There is minimal spinal canal stenosis. There is mild left and minimal right neural foramina narrowing. There is facet arthropathy on the left.C5-6: There is loss of intravertebral disk space. There is minimal disk osteophyte complex and uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is mild right and minimal left neural foraminal stenosis.C6-7: There is loss of intravertebral disk space. No significant compromise to the spinal canal or left neural foramina. There is minimal right neural foraminal narrowing. C7-T1: No significant compromise to the spinal canal or left neural foramina. There is mild right neural foraminal narrowing. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. On the sagittal sequences, there is evidence of facet arthropathy at the left T2-T3 level with focus of T2 hyperintensity posteriorly which may represent a small synovial cyst but is not imaged on the axial sequence. No associated spinal canal or neural foramina narrowing.
Mild degenerative changes in the cervical spine relatively worse at C4-5. There is mild multilevel neural foraminal narrowing as detailed above. No high-grade spinal canal or neural foramina stenosis at any level.