History of cervical DJD, chronic neck pain Examination is mildly motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics.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: No significant compromise to the spinal canal or neural foramina.C4-5: Disc osteophyte complex and uncovertebral hypertrophy contribute to mild to moderate spinal canal stenosis. There is mild to moderate left neural foraminal stenosis. Minimal right neural foraminal narrowing.C5-6: Minimal disc osteophyte complex. No spinal canal or right neural foraminal stenosis. Mild left neural foraminal narrowing.C6-7: Disc osteophyte complex and mild uncovertebral hypertrophy. No significant spinal canal or right neural foraminal stenosis. Minimal left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.There is also mild generalized facet arthropathy, greater on the left. Left vertebral artery flow-void is diminutive which is at least in part developmental but raises possibility of stenosis. Paraspinous soft tissue structures appear within normal limits.
Mild multilevel degenerative changes in the cervical spine as described above. There is mild to moderate spinal canal stenosis at the C4-C5 level without cord signal abnormality. There is also mild to moderate left neural foraminal stenosis at this level. Additional details as above.