Reason: ?stenosis ?DDD History: bilateral upper extremity radiculopathy, weakness Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from minimal C2 on C3 and C3 and C4 anterolisthesis. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine with small disc osteophyte complexes from C3-C4 to the C6-C7 levels. There is also mild facet arthropathy bilaterally throughout the cervical spine. Additional details as below: C2-3: No significant compromise to the spinal canal or neural foramina. Bilateral facet arthropathy.C3-4: No significant compromise to the spinal canal. Bilateral facet arthropathy and mild uncovertebral hypertrophy contribute to mild narrowing of the neural foramina. C4-5: No significant compromise to the spinal canal. There is mild left and minimal right neural foraminal narrowing related to uncovertebral hypertrophy and mild facet arthropathy.C5-6: No significant compromise to the spinal canal. There is mild left and minimal right neural foraminal narrowing related to uncovertebral hypertrophy and mild facet arthropathy.C6-7: Mild disc bulge and bilateral uncovertebral hypertrophy without significant spinal canal stenosis. There is moderate left and mild right neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina. Bilateral facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Mild multilevel degenerative changes without significant spinal canal stenosis at any level.2. Neural foraminal stenoses is worst at the left C6-C7 level where there is moderate stenosis and may be impingement of the left C7 nerve root. There is mild additional multilevel neural foraminal stenoses as detailed above.