Neck pain with left hand numbness. There is multilevel degenerative cervical spondylosis with associated bone marrow signal alterations. At C2-3, there is no significant spinal canal or neural foraminal narrowing. At C3-4, there is a small posterior disc-osteophyte complex with minimal narrowing of the spinal canal, but no significant neural foraminal narrowing. At C4-5, there is a disc-osteophyte complex that abuts the spinal cord and there is severe left and mild right neural foraminal narrowing. At C5-6, there is a posterior disc-osteophyte complex with mild narrowing of the spinal canal and there is severe left and mild right neural foraminal narrowing. At C6-7, there is posterior disc-osteophyte complex with mild narrowing of the spinal canal and there is severe left and mild right neural foraminal narrowing. At C7-T1, there is no significant significant spinal canal or neural foraminal narrowing. There are posterior disc-osteophyte complexes at T1-2 and T2-3 that do not indent the spinal cord, but there is associated neural foraminal stenosis bilaterally, which is otherwise incompletely characterized on this dedicated cervical spine MRI. Aside from prominent degenerative endplate irregularities in the C3 vertebra, the vertebral body heights are essentially preserved. The spinal cord displays normal signal. The paravertebral soft tissues are unremarkable.
Multilevel degenerative cervical spondylosis, which is most pronounced at C4 through C7, with severe left neural foraminal narrowing at these levels.