Neck pain, evaluate for disc herniation Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is straightening of the spinal curvature; alignment is otherwise maintained. Bone marrow signal is benign. The cervical spinal cord has normal signal characteristics and overall morphology.Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is disc bulge slightly eccentric to the right with mild right neural foraminal stenosis. There is partial effacement of the ventral thecal sac without overall significant spinal canal stenosis. Left neural foramen is also patent.C4-5: Minimal disc bulge. No significant compromise to the spinal canal or neural foramina.C5-6: There is a relatively large left paracentral and foraminal disc extrusion with mild superior and inferior migration, measuring 12 mm in the craniocaudal dimension. The disc extrusion effaces the left ventral thecal sac and abuts the left ventral cord without significant compression. There is mild spinal canal stenosis involving the left aspect of the spinal canal. There is also moderate left neural foraminal stenosis. No significant right neural foraminal narrowing.C6-7: There is a small central disc extrusion which effaces the ventral thecal sac. There is mild spinal canal stenosis without significant mass effect on the cord. Neural foramina are patent.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
There is a relatively large disc extrusion at the C5-C6 level and a smaller one at the C6-C7 level. There is mild spinal canal stenosis at these levels without cord compression or cord signal abnormality. There is also moderate left C5-C6 neural foraminal stenosis associated with the disc extrusion, where there may be impingement of the left C6 nerve root. Additional levels as above.