Cervical stenosis. Neck pain, upper extremity weakness. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis with minimal retrolisthesis of C5 on C6 and C6 on C7. Alignment is otherwise maintained. Bone marrow signal is benign. No definite cord signal abnormality is appreciated within the limits of motion degradation.There is mild developmental narrowing of the cervical spinal canal with superimposed degenerative changes as described below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is mild to moderate degree of spinal canal stenosis related to developmental narrowing and small central disc protrusion. Mild facet arthropathy. There is mild bilateral neural foraminal stenosis.C4-5: No significant compromise to the spinal canal or right neural foramen. Mild left neural foraminal stenosis related to uncovertebral hypertrophy and mild facet arthropathy.C5-6: There is a small disc osteophyte complex, eccentric to the right, with associated effacement of the ventral thecal sac and mild impression on the ventral cord, particularly on the right. There is overall mild spinal canal stenosis at this level. There is moderate left and mild right neural foraminal stenosis related to uncovertebral hypertrophy and mild facet arthropathy.C6-7: Small disc osteophyte complex which is eccentric to the right. There is effacement of the ventral thecal sac and mild impression on the right ventral aspect of the cord. There is overall mild spinal canal stenosis at this level. There is mild narrowing of the bilateral neural foramina, left worse than right. C7-T1: No significant compromise to the spinal canal or right neural foramen. There is 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.
Mild developmental narrowing of the cervical spinal canal with superimposed mild degenerative changes as described above. No high-grade spinal canal stenosis at any level or cord signal abnormality is evident. There is up to mild to moderate degree of spinal canal stenosis at the C3-C4 level as well as mild stenosis involving the right aspect of the spinal canal at the C5-C6 and C6-C7 levels. Multilevel neural foraminal narrowing as detailed above.