Male, 38 years old. Neck pain The cranial-cervical junction is normal. There is mild loss of the normal cervical lordosis, but the cervical spine alignment is otherwise anatomic. Vertebral body and disc space heights are preserved. There is endplate marrow edema at C6-7, likely degenerative in etiology. Otherwise, the bone marrow and end plates demonstrate normal MR signal. The signal of the visualized cord is normal, without evidence of cord compression or mass. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is no significant neuroforaminal narrowing or spinal stenosis. C3-C4: There is bilateral uncovertebral joint hypertrophy and posterior osteophyte disc complex formation with flattening of the left hemicord without intrinsic cord abnormality there is moderate left foraminal narrowing.C4-C5: There is bilateral uncovertebral joint hypertrophy, posterior osteophyte disc complex formation, and minimal ligamentum flavum thickening with moderate bilateral neural foraminal narrowing and mild spinal canal stenosis.C5-C6: There is left greater than right uncovertebral joint hypertrophy, posterior osteophyte disc complex formation, and minimal ligamentum flavum thickening with moderate to severe left neuroforaminal narrowing, mild to moderate right neural foraminal narrowing, and mild to moderate spinal canal stenosis.C6-C7: There is posterior osteophyte disc complex formation and uncovertebral joint hypertrophy with moderate left and mild right foraminal narrowing and minimal spinal canal stenosis.C7-T1: There is no significant neuroforaminal narrowing or spinal stenosis.
Multilevel degenerative changes involving the cervical spine as detailed above with up to mild-to-moderate spinal canal narrowing at C5-6, up to moderate-to-severe left neural foraminal narrowing at C5-6, and up to moderate right neural foraminal narrowing at C4-5.