Neck pain and bilateral hand burning Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis. There is minimal retrolisthesis of C6 on C7 and minimal anterolisthesis of C7 on T1. Bone marrow signal is within normal limits. There is mild flattening of the cord at the C5-C6 level related to extrinsic mass effect without definite cord signal abnormality. No abnormal enhancement.There is moderate degree of facet arthropathy throughout the cervical spine bilaterally. Additional details regarding cervical spine degenerative changes as below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small disc osteophyte complex with uncovertebral hypertrophy and bilateral facet arthropathy contribute to mild spinal canal stenosis and moderate bilateral neural foraminal stenosis. C4-5: Small disc osteophyte complex with uncovertebral hypertrophy and bilateral facet arthropathy contribute to mild narrowing of the spinal canal. There is mild to moderate bilateral neural foraminal stenosis.C5-6: There is a disc osteophyte complex, ligamentum flavum thickening, and bilateral facet arthropathy contributing to moderate degree of spinal canal stenosis at this level with mild deformity of the cord, but without definite cord signal abnormality. The disc bulge component primarily contributes to the spinal canal stenosis. There is also mild to moderate bilateral neural foraminal stenosis.C6-7: Small disc osteophyte complex, bilateral uncovertebral hypertrophy, and facet arthropathy. There is mild narrowing of the spinal canal. There is moderate left neural foraminal stenosis and mild to moderate right neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or right neural foraminal narrowing. Mild left neural foraminal narrowing. There is bilateral facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Degenerative changes throughout the cervical spine with moderate spinal canal stenosis at the C5-C6 level. There is no definite cord signal abnormality. 2. There is mild degree of spinal canal stenosis as well as multilevel neural foraminal stenoses as detailed above.