Neck pain, neck muscle weakness, left side Examination is slightly motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained. Bone marrow signal is benign.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.C3-4: Small disc osteophyte complex which partially effaces the ventral thecal sac with minimal narrowing of the spinal canal. There is mild narrowing of the left neural foramen. Minimal right neural foraminal narrowing.C4-5: No significant spinal canal stenosis. Uncovertebral hypertrophy and facet arthropathy resulting in moderate left neural foraminal stenosis. No significant right neural foraminal narrowing.C5-6: Minimal disc osteophyte complex without spinal canal stenosis. Mild bilateral neural foraminal stenosis related to uncovertebral hypertrophy. C6-7: Small disc osteophyte complex without significant spinal canal or neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal. There is mild bilateral neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. There is a lobulated mass involving the involving the left parotid gland measuring 17 x 21 x 28 mm in the AP, transverse, and craniocaudal dimensions with T2 hyperintensity.
1. Multilevel degenerative changes in the cervical spine without significant spinal canal stenosis at any level. There is up to moderate left neural foraminal stenosis at the C4-C5 level related to uncovertebral hypertrophy and prominent left-sided facet arthropathy at this level. Please see additional levels as above.2. Incidentally noted is a lobulated mass involving the left parotid gland measuring 17 x 21 x 28 mm. Finding may represent a benign neoplasm such as pleomorphic adenoma but is incompletely evaluated. Dedicated parotid imaging with contrast or comparison with priors is suggested if available.