34-year-old male with tingling, numbness, and left deltoid muscle atrophy. The cranial-cervical junction is normal. There is loss of normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow demonstrates low signal on T1, which is likely related to the patient's age and predominance of red marrow. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing or myelopathy. The intervertebral discs demonstrate normal T2 intensity and height. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. There is mild developmental narrowing of the entire cervical spinal canal due to shortened pedicles. Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is mild central spinal canal stenosis. There is mild left uncovertebral hypertrophy with associated mild neural foraminal narrowing.C3-C4: There is mild central spinal canal stenosis. There is moderate left and mild-to-moderate right neuroforaminal stenosis. C4-C5: There is mild central spinal canal stenosis. There is bilateral facet arthropathy and moderate bilateral neuroforaminal stenosis, left greater than right.C5-C6: There is mild central spinal canal stenosis. There is no significant neuroforaminal stenosis.C6-C7: There is mild central spinal canal stenosis. There is mild diffuse disc osteophyte formation with superimposed left neuroforaminal disc protrusion resulting in severe stenosis. There is moderate narrowing of the right neuroforaminal canal.C7-T1: No neuroforaminal narrowing or spinal stenosis.
Mild multilevel degenerative changes as detailed above with left neuroforaminal disc protrusion resulting in severe stenosis which may account for the patient's symptoms.