Cervical radiculopathy, and pain. Patient motion artifact limits evaluation. The cranial-cervical junction is normal. The cervical spine alignment is anatomic. Mild loss of height of C4-C7 vertebral bodies is likely degenerative in nature, and appears similar to the prior examination. The signal of the visualized cord is normal. The paraspinal soft tissues are unremarkable. Intervertebral disc spaces are preserved, with the exception of mild loss of disc height at C6-7. Bulky anterior osteophyte complexes are again present from C4-5 through C6-7.Degenerative changes are specified by the intervertebral level as follows: C2-C3: Right uncovertebral and facet hypertrophy with mild right foraminal narrowing, similar to prior exam. No significant spinal canal stenosis.C3-C4: Right facet hypertrophy. No significant spinal canal stenosis or foraminal narrowing.C4-C5: Mild posterior disc osteophyte complex. Left facet hypertrophy with moderate left foraminal narrowing, mildly progressed compared to prior exam. No spinal canal stenosis.C5-C6: No significant spinal canal stenosis or foraminal narrowing.C6-C7: Posterior disc osteophyte complex with bilateral foraminal protrusions. Mild bilateral foraminal narrowing. No significant spinal canal stenosis.C7-T1: Mild facet hypertrophy. No significant foraminal narrowing or spinal canal stenosis.
Multilevel degenerative disc disease with scattered foraminal narrowing as described above, with moderate left foraminal narrowing at C4-5, mildly progressed compared to prior exam, otherwise overall not significantly changed since prior exam.