Right hand numbness in ulnar 2 digits. Evaluate for nerve root compression, especially C8. Examination is motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is minimal retrolisthesis of C5 on C6. Alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: There is bilateral facet arthropathy with moderate right and mild left neural foraminal stenosis. No significant spinal canal stenosis.C3-4: Minimal disc osteophyte complex and uncovertebral hypertrophy and facet arthropathy. No significant spinal canal or neural foraminal stenosis.C4-5: Small disc osteophyte complex with partial effacement of the ventral thecal sac. No significant spinal canal stenosis. No significant right neural foraminal stenosis. Mild left neural foraminal stenosis. Left-sided facet arthropathy.C5-6: Small disc osteophyte complex, ligamentum flavum thickening, and uncovertebral hypertrophy without significant spinal canal stenosis. There is severe right and mild to moderate left neural foraminal stenosis related to uncovertebral hypertrophy. C6-7: Minimal disc osteophyte complex and ligamentum flavum thickening. No significant compromise to the spinal canal or neural foramina.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.
Multilevel degenerative changes in the cervical spine as detailed above. There is up to severe right C5-C6 neural foraminal stenosis. No appreciable compression of the C8 nerve root in the C7-T1 neural foramen is appreciated.