Tingling, numbness in third, fourth and fifth digits, symmetric with neck pain Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis. There is also mild anterolisthesis of C5 on C6. Bone marrow signal is benign. There is abnormal T2 signal within the cord bilaterally, but primarily on the left. There is mild enhancement, but suboptimally assessed due to motion degradation on the postgadolinium sequences. No additional levels of signal abnormality elsewhere in the cervical spine or the partially imaged upper thoracic spine are demonstrated. Degenerative changes are seen in the cervical spine including multilevel disc desiccation and mild generalized facet arthropathy. Additional details as described below:C2-3: No significant compromise to the spinal canal or right neural foramen. There is minimal left neural foraminal stenosis related to facet arthropathy.C3-4: No significant compromise to the spinal canal. Minimal bilateral neural foraminal narrowing.C4-5: No significant compromise to the spinal canal or left neural foramen. Minimal right neural foraminal narrowing.C5-6: There is a central disc extrusion which effaces the ventral thecal sac. There is indentation on the ventral cord with T2 signal abnormality and mild enhancement at this level. Dorsal thecal sac at this level is relatively preserved. There is mild bilateral neural foraminal narrowing.C6-7: Small disc osteophyte complex without significant spinal canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis. C7-T1: There is a central and left paracentral disc protrusion associated with partial effacement of the ventral thecal sac. No significant spinal canal stenosis overall at this level. There is mild left and minimal right neural foraminal narrowing.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. There is nonspecific partial opacification of the mastoid air cells.
1. There is a central disc extrusion at the C5-C6 level with associated mild deformity of the ventral cord. There is abnormal T2 hyperintensity and mild enhancement within the cord at this level suspected to represent edema, probably related to the disc extrusion. Inflammatory myelopathy seems less likely but can be considered in the appropriate clinical setting.2. Small disc protrusion is evident at the C7-T1 level, without significant spinal canal stenosis.