Neck/upper extremity pain, history of cystic lesion Craniocervical junction within normal limits. Vertebral body heights are normal. Alignment is grossly maintained. Bone marrow signal is benign. No suspicious osseous lesions or bone marrow edema is appreciated. No abnormal signal in the cervical cord.Multilevel degenerative changes are seen throughout the cervical spine including disc desiccation and height loss at the C3-C4, C4-C5, C5-C6, and C6-C7 levels. Incidentally noted are small perineural cysts at the left C6-C7 and C7-T1 levels, as before. No abnormal enhancement or suspicious lesions within the cervical spine are appreciated. Individual levels as below:C2-3: No significant spinal canal or neural foraminal stenosis.C3-4: Small disc osteophyte complex and ligamentum flavum thickening. There is mild narrowing of the spinal canal at this level. There is mild left-sided neural foraminal narrowing related to mild uncovertebral hypertrophy and facet arthropathy.C4-5: Small disc-osteophyte complex and ligamentum flavum thickening. There is mild to moderate spinal canal narrowing. There is mild to moderate left greater than right neural foraminal narrowing. C5-6: Disc osteophyte complex and ligamentum flavum thickening contribute to mild to moderate spinal canal stenosis. There is up to moderate bilateral neural foraminal narrowing.C6-7: Small disc osteophyte complex with minimal narrowing of the spinal canal. There is mild to moderate left and mild right neural foraminal narrowing.C7-T1: No significant spinal canal or neural foraminal narrowing.
1.Multilevel degenerative changes in the cervical spine with mild to moderate spinal canal stenosis at the C4-C5 and C5-C6 levels. No cord signal abnormality. Neural foraminal narrowing at multiple levels as before.2.Small perineural cysts are again seen at the left C5-C6 and C6-C7 levels, likely representing an incidental finding of doubtful clinical significance.