Neck pain with radiation into back and arm on the left Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild reversal of cervical lordosis centered at the C4-C5 level. Alignment is otherwise maintained. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.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 left neural foramen. Minimal right neural foraminal narrowing related to small disc osteophyte complex and uncovertebral hypertrophy. C4-5: Small disc osteophyte complex and uncovertebral hypertrophy with effacement of the ventral thecal sac and mild spinal canal narrowing. There is moderate right and mild left neural foraminal narrowing related to uncovertebral hypertrophy. C5-6: Disc osteophyte complex which partially effaces the ventral thecal sac. There is mild narrowing of the spinal canal at this level. There is moderate right and mild left neural foraminal narrowing related to uncovertebral hypertrophy.C6-7: Left paracentral disc protrusion with mild narrowing of the left aspect of the spinal canal. There is moderate to severe left and mild to moderate right neural foraminal narrowing related to uncovertebral hypertrophy and disc.C7-T1: Small left paracentral disc protrusion also involving the proximal left neural foramen. There is mild to moderate narrowing of the proximal left neural foramen. Left neural foramen laterally as well as the right neural foramen are patent.Paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes in the cervical spine. There is mild spinal canal narrowing at the C4-C5, C5-C6, and C6-C7 levels. No high-grade spinal canal stenosis. There is up to moderate to severe left C6-C7 neural foraminal stenosis which may be impinging on the left C7 nerve root. Additional levels as detailed above.