76-year-old female with left neck pain and left arm radiculopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is reversal of normal cervical lordosis with mild kyphotic angulation at the C5-C6 level. No abnormal cord signal is appreciated.Moderate degenerative changes are seen throughout the cervical spine as detailed below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is disc osteophyte complex and ligamentum flavum thickening with mild spinal canal stenosis. There is minimal right neural foraminal narrowing. No significant left neural foraminal narrowing.C4-5: There is disc osteophyte complex, uncovertebral hypertrophy, and ligamentum flavum thickening. There is mild to moderate spinal canal stenosis. There is mild right worse in left neural foraminal stenosis.C5-6: There is small disc osteophyte complex and kyphotic angulation at this level. There is mild to moderate spinal canal stenosis. Mild bilateral neural foraminal narrowing.C6-7: There is disc osteophyte complex and ligamentum flavum thickening with moderate spinal canal stenosis. There is moderate left and mild to moderate right neural foraminal stenosis.C7-T1: There is disc osteophyte complex, uncovertebral hypertrophy, and ligamentum flavum thickening. There is moderate spinal canal stenosis. There is moderate to severe left neural foraminal stenosis and moderate right neural foraminal stenosis.There is prominent facet arthropathy at the left C4-C5 level. The vertebral artery flow voids appear to be intact. Small bilateral thyroid nodules noted.
1. Degenerative changes throughout the cervical spine with up to moderate degree of spinal canal stenosis at multiple levels from C3-C4 to the C7-T1 levels. 2. There is multilevel neural foraminal stenosis, as detailed above, relatively worse at the left C6-C7 and C7-T1 levels which may be impinging on the left C7 and C8 nerve roots. No cord signal abnormality.3. Prominent facet arthropathy at the left C4-C5 level which may be contributing to patient's neck pain.