Tenderness to palpation at the base of the neck to both shoulders. No provided history of trauma. There is multilevel cervical spine degenerative spondylosis. At C3-4, there is a slight disc-osteophyte complex that results in mild left neural foraminal narrowing, but significant spinal canal narrowing. At C4-5, there is an eccentric left disc extrusion that indents the spinal cord and results in mild left neural foraminal narrowing. At C5-6 and C6-7, there are posterior disc-osteophytes that mildly narrow the spinal canal and perhaps slightly narrow the bilateral neural foramina. There is no significant spinal canal or neural foraminal narrowing at C2-3 and C7-T1. There is mild loss of C6 vertebral body height centrally associated with endplate irregularities. There is moderate disc space height loss at C5-C6 and C6-7. There is no evidence of acute vertebral subluxation or fracture. There is no evidence of intraspinal tumors. The paravertebral soft tissues are unremarkable.
Multilevel cervical spine degenerative spondylosis, including most notably a left C4-5 paracentral disc extrusion that indents the spinal cord. 