Subjective weakness to right arm. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained, aside from loss of cervical lordosis which may be in part positional. Bone marrow signal is benign with T1 hyperintense lesion involving the C4 vertebral body consistent with hemangioma. The cervical spinal cord has normal signal characteristics and overall morphology.There are multilevel degenerative changes, with disc height loss relatively worse at the C5-C6 and C6-C7 levels. Additional details 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 neural foramina. C4-5: No significant compromise to spinal canal. Minimal bilateral neural foraminal narrowing related to uncovertebral hypertrophy and mild facet arthropathy.C5-6: Small disc osteophyte complex. No significant compromise to the spinal canal. There is moderate right and mild to moderate left neural foraminal stenosis related to uncovertebral hypertrophy and mild facet arthropathy. C6-7: Small disc osteophyte complex. No significant compromise to the spinal canal. There is minimal narrowing of the neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.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, relatively worse at the C5-C6 level where there is moderate right and mild to moderate left neural foraminal stenosis. 2. Minimal neural foraminal narrowing at additional levels as above. No significant spinal canal stenosis at any level. 