Left upper extremity numbness and pain Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small central disc protrusion is similar to prior. There is minimal narrowing of the spinal canal. Neural foramina are patent.C4-5: Disc osteophyte complex with left paracentral disc protrusion is mildly worse than prior and associated with indentation of the left aspect of the cord. There is mild to moderate degree of spinal canal stenosis at this level. Neural foramina are patent.C5-6: Small disc osteophyte complex including a left paracentral protrusion is minimally decreased in the interval. There is mild to moderate degree of spinal canal stenosis at this level. There is mild narrowing of the bilateral neural foramina. C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.Small multiple bilateral perineural cysts incidentally noted. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Mild degenerative changes in the cervical spine as detailed above. There is a disc osteophyte complex at C4-C5 including a left paracentral disc protrusion which indents the left ventral aspect of the cord and mildly worse since prior cervical spine MRI from 12/24/2013. No cord signal abnormality. Disc protrusion at C5-C6 has slightly decreased in the interval.2. There is mild bilateral neural foraminal stenosis at C5-C6. No high-grade neural foraminal stenoses at any level.