Recent neck injury. Pain and numbness in the neck, right shoulder and right arm/hand. Craniovertebral junction appears within normal limits. There is reversal of normal cervical lordosis with mild kyphotic angulation centered at the C4-C5 level. The cervical vertebral bodies are appropriate height. Bone marrow signal is benign with T1 hyperintense lesion involving the C7 vertebral body compatible with focal fat or hemangioma.Motion artifact limits evaluation for cord signal abnormality; however, no definite cord signal abnormality is appreciated. There are possible T2 hyperintense foci in the right ventral cord at C4-C5 (series 1001 axial T2 image 17 of 45 and separate focus at sagittal T2 image 8/15 series 901).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: There is a diminished intervertebral disc height and disc osteophyte complex. There is uncovertebral hypertrophy particularly on the left with foraminal disc protrusion. There is resultant moderate left and mild right foraminal stenosis. There is partial effacement of the ventral and dorsal thecal sac resulting in mild to moderate spinal canal stenosis.C5-6: There is diminished disc height, disc osteophyte complex, with right greater than left disc protrusion which extends into the right-sided neural foramen. There is effacement of the ventral thecal sac and mild indentation on the ventral cord right greater than left. There is moderate to severe right foraminal narrowing and mild left foraminal narrowing.C6-7: Small disc osteophyte complex and uncovertebral hypertrophy on the right. There is small right foraminal disc protrusion with minimal right foraminal narrowing. No significant left foraminal narrowing. Partial effacement of the ventral thecal sac without significant spinal canal stenosis. 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.
1. Degenerative changes in the cervical spine, worst at C4-C5 and C5-C6, with up to moderate spinal canal stenosis and mild cord deformity at these levels. Motion artifact limits evaluation for cord signal abnormality; there is however possible associated punctate T2 cord signal abnormality in the right ventral cord at the C4-5 level, as described above.2. Moderate to severe right C5-C6 foraminal stenosis related to disc extrusion and uncovertebral hypertrophy, which may be impinging on the right C6 nerve root.