Pain in left arm, left cervical radiculopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is grade 1 retrolisthesis of C5 on C6. Alignment is otherwise maintained. Bone marrow signal is benign. The cervical spinal cord has normal signal characteristics. There is mild multilevel disc desiccation, as well as endplate marrow signal changes at the C5-C6 level.There is mild diffuse congenital narrowing of the cervical spinal canal with superimposed degenerative changes as described below:C2-3: Right paracentral disc protrusion with mild spinal canal stenosis. No significant neural foraminal stenosis. C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: Mild retrolisthesis and left paracentral and foraminal disc bulge. There is mild spinal canal stenosis involving the left aspect of the spinal canal. There is also mild left-sided neural foraminal stenosis. No significant right neural foraminal narrowing. C6-7: There is a central disc protrusion and ligamentum flavum thickening resulting in mild to moderate spinal canal stenosis at this level. No significant neural foraminal narrowingC7-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.
Mild multilevel degenerative changes in the cervical spine as detailed above. There is mild to moderate spinal canal stenosis at the C6-C7 level and to a lesser degree at C5-C6 and C2-C3 levels. There is mild left C5-C6 neural foraminal stenosis which may be effecting the left C6 nerve root. Cervical neural foramina are otherwise patent.