Left-sided weakness. The vertebral body and intervertebral disc heights are maintained. There is slight loss of signal in multiple intervertebral discs most severe at C4-5 indicating early desiccation. The alignment is anatomic. No bone marrow signal abnormalities. The spinal cord has normal signal and morphology. Level by level findings are as follows:C2-C3: No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.C3-C4: No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.C4-C5: Very trace disc bulge with slightly asymmetric prominence in the right paracentral region. No significant spinal canal stenosis or neuroforaminal narrowing.C5-C6: Trace diffuse disc bulge. No spinal canal stenosis. Minimal right neuroforaminal narrowing.C6-C7: Trace diffuse disc bulge with asymmetric prominence of the right. Minimal right neural foraminal narrowing. No spinal canal stenosis.C7-T1: No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.
Minimal degenerative disease in the cervical spine with minimal right-sided neural foraminal narrowing as described. No findings to account for the patient's left-sided weakness.