Right upper extremity radicular pain. Evaluate for cervical nerve impingement. Craniovertebral junction appears within normal limits. There is slight straightening of the cervical spine which may be positional or related to spasm/pain. 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: Minimal disc disease and degenerative changes. No central spinal canal stenosis. Mild left neuroforaminal stenosis.C3-4: Minimal disc disease. There is left-sided uncovertebral with mild left and moderate right neuroforaminal stenosis. Mild central canal stenosis is also noted.C4-5: Moderate disc disease and moderate loss of disc height with significant left neural foraminal stenosis. No right neuroforaminal stenosis or central spinal canal stenosis. There is a tortuous right vertebral artery which invades the right neural foramen but there is no neural foraminal stenosis.C5-6: Moderate disc disease and loss of disc height is noted. There is right greater than left uncovertebral hypertrophy with significant right and mild left neuroforaminal narrowing. No central spinal canal stenosis.C6-7: Mild degenerative disc disease with moderate left and mild right facet hypertrophy. Right greater than left broad-based disc protrusion with extrusion of disc material superiorly which causes severe right neuroforaminal stenosis. There is also resultant moderate central canal stenosis with flattening and displacement of the spinal cord but no detectable cord signal abnormality. C7-T1: Mild degenerative disc disease is noted without neuroforaminal or central spinal canal stenosis. Paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes at greatest the right C6-7 level where there is a broad-based disc protrusion and superior extrusion of disc material which causes severe right neural foraminal stenosis and moderate central spinal canal stenosis. No detectable cord signal abnormalities.