Left biceps, triceps, deltoid weakness. Evaluate for cervical stenosis. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is minimal retrolisthesis of C3 on C4, C4 on C5, and C5 on C6. Alignment is otherwise maintained. Bone marrow signal is benign.Degenerative changes are seen in the cervical spine as described below:C2-3: Small disc osteophyte complex eccentric to the right and ligamentum flavum thickening. There is no significant spinal canal stenosis. There is mild right neural foraminal narrowing. Left neural foramen is patent. C3-4: Disc osteophyte complex and ligamentum flavum thickening contribute to moderate spinal canal stenosis. There is mild deformity of the cord. There is questionable T2 hyperintensity just below the level of the stenosis at the C4 level on the left on the STIR sequence and sagittal oblique T2 sequence but no definite cord signal abnormality. There is also moderate left and mild to moderate right neural foraminal narrowing related to uncovertebral hypertrophy and facet arthropathy. C4-5: Disc osteophyte complex and ligamentum flavum thickening result in mild to moderate spinal canal stenosis. There is severe right and moderate left neural foraminal stenosis. C5-6: Disc osteophyte complex and ligamentum flavum thickening are associated with mild spinal canal stenosis. There is severe right and mild to moderate left neural foraminal stenosis.C6-7: No significant spinal canal stenosis. There is moderate to severe right and mild to moderate left neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy.C7-T1: No significant compromise to the spinal canal or right neural foramen. Mild left neural foraminal stenosis related to facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine. There is moderate spinal canal stenosis at the C3-C4 level with mild cord deformity. There is questionable associated subtle T2 signal involving the left lateral aspect of the cord at the C4 level, but no definite cord signal abnormality. There is also mild to moderate C4-C5 and mild C5-C6 spinal canal stenosis.2. Multilevel neural foraminal narrowing including moderate left C3-C4, severe right C4-C5 and C5-C6, and moderate to severe right C6-C7 neural foraminal stenoses. Additional levels as above.