Hand contraction, dystonia left greater than right. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Mild 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: No significant compromise to the spinal canal or neural foramina.C4-5: Small disc osteophyte complex including small left foraminal disc protrusion and uncovertebral hypertrophy. There is partial effacement of the left ventral thecal sac without significant spinal canal stenosis overall. Mild to moderate left neural foraminal stenosis and mild right neural foraminal narrowing.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or right neural foramen. Minimal left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or right neural foramen. Mild left neural foraminal narrowing related to uncovertebral hypertrophy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. There is a subcentimeter focus of T2 hyperintensity in the left posterior aspect of the left thyroid lobe likely representing thyroid nodule, but not well evaluated.
1. Mild multilevel degenerative changes without significant spinal canal stenosis at any level or cord signal abnormality.2. Mild to moderate left C3-C4 neural foraminal stenosis. Mild neural foraminal stenosis at additional levels as above.