Cervicalgia Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild anterolisthesis of C4 on C5 C5 on C6. Alignment is otherwise maintained. Bone marrow signal is benign. There is multilevel disc desiccation with particular loss of disc height at the C3-C4, C5-C6, and C6-C7 levels.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina. Right-sided facet arthropathy.C3-4: No significant compromise to the spinal canal or neural foramina. There appears to be ankylosis of the right-sided facet joints.C4-5: Minimal disc osteophyte complex and ligamentum flavum thickening. There is no significant spinal canal stenosis. There is mild to moderate right neural foraminal stenosis related to uncovertebral hypertrophy and prominent facet arthropathy. No significant left neural foraminal narrowing.C5-6: Disc osteophyte complex and ligamentum flavum thickening. There is mild left neural foraminal narrowing related to uncovertebral hypertrophy and facet arthropathy. No signal right neural foraminal narrowing. Bilateral facet arthropathy.C6-7: Minimal disc osteophyte complex. No significant compromise to the spinal canal or neural foramina. Bilateral facet arthropathy.C7-T1: No significant compromise to the spinal canal or left neural foramen. Bilateral facet arthropathy. Minimal right neural foraminal narrowing.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 described above. There is no significant spinal canal stenosis at any level or cord signal abnormality. Neural foraminal narrowing is relatively worst at the right C4-C5 level. There is also multilevel facet arthropathy, relatively worst at the C4-C5 level on the right, which may also be contributing to patient's neck pain.