Right arm pain and radicular pain Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. There is evidence of anterior cervical fusion extending from C3 to C5; hardware can be better assessed on radiographs or CT. There is diffuse mild to moderate degree of spinal canal stenosis in the cervical spine with partial effacement of the ventral and dorsal thecal sacs.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Mild disc bulge and uncovertebral hypertrophy on the right. There is mild to moderate spinal canal stenosis. No significant neural foraminal stenosis.C4-5: Small left paracentral disc osteophyte complex. There is mild to moderate spinal canal stenosis. No significant neural foraminal stenosis.C5-6: Left paracentral disc osteophyte complex with mild to moderate degree of spinal canal stenosis. No significant neural foraminal stenosis.C6-7: Small disc osteophyte complex and uncovertebral hypertrophy with no significant spinal canal stenosis. There is mild bilateral, right greater than left neural foraminal stenosis.C7-T1: Small disc protrusion on the right with uncovertebral hypertrophy with mild right neural foraminal stenosis. No significant spinal canal or left neural foraminal stenosis.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Postsurgical changes of anterior cervical fusion from C4 to C6. Hardware appears grossly unremarkable but can be better assessed with radiographs or CT.2. Degenerative changes with mild right-sided neural foraminal stenosis at the C6-C7 and C7-T1 levels related to uncovertebral hypertrophy and small disc protrusion. Additional levels as above.