Neck pain. Radiculopathy on the right side. 52-year-old male The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is disc desiccation present at this level.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is disc desiccation present at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a minor disc bulge, disc desiccation and mild posterior ligamentous hypertrophy at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this level. There is some disc desiccation and a disc bulge at this level.At C6-7 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally and mild encroachment of the exiting nerve roots within the neural foramina -right worse than left. The exiting nerve roots within the neural foramina are surrounded by fat. There are endplate reactive changes present adjacent to the right sided exiting nerve roots at this level with high signal on T2 and lower signal on T1. This is best visualized on the T2 STIR images sequence #4 images # 2- 8At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
There are degenerative changes present in the cervical spine without significant compromise to the spinal canal or exiting nerve roots. However, there are inflammatory changes present involving the endplates adjacent to the right lateral recess at C6-7 which affects the right-sided exiting nerve roots within the neural foramen at this level where there is also mild encroachment of the right-sided exiting nerve roots.