73-year-old female with history of cervical disc bulge with left shoulder/arm pain and tingling. Evaluate for changes. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is straightening of the cervical spinal curvature, with otherwise grossly preserved alignment. Bone marrow signal is benign. Motion degradation somewhat limits exam. No appreciable cord signal abnormality. There is developmental narrowing of cervical spinal canal with superimposed degenerative changes in the cervical spine as described below:C2-3: There is a disc osteophyte complex eccentric to the left with moderate spinal canal stenosis involving the left aspect of the spinal canal. There is deformity of the left ventral cord. No cord signal abnormality. There is mild to moderate bilateral neural foraminal stenosis. Bilateral facet arthropathy.C3-4: Disc osteophyte complex with moderate spinal canal stenosis. There is moderate to severe right neural foraminal stenosis. Left neural foramen is patent. There is right-sided facet arthropathy.C4-5: No significant compromise to the spinal canal aside from developmental narrowing. There is moderate left neural foraminal stenosis. No significant right neural foraminal narrowing. There is left greater than right facet arthropathy.C5-6: There is a disc osteophyte complex with mild spinal canal stenosis. There is moderate bilateral neural foraminal stenosis related to uncovertebral hypertrophy.C6-7: Small disc osteophyte complex without significant compromise to the spinal canal. There is severe bilateral neural foraminal stenosis.C7-T1: Small disc osteophyte complex. No significant compromise to the spinal canal. Mild bilateral neural foraminal narrowing. There is facet arthropathy, right worse in left.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes throughout the cervical spine which have slightly progressed since 6/6/2008. 2. There is up to moderate spinal canal stenosis involving the left aspect of the spinal canal at the C2-C3 level as well as moderate spinal canal stenosis at the C3-C4 level related to degenerative disease superimposed on a developmentally narrow spinal canal. No cord signal abnormality.3. Multilevel neural foraminal stenosis including right C3-C4, left C4-C5, bilateral C5-C6, and bilateral C6-C7 levels. Please see additional details above.