Neck pain, tingling, pain upper extremities Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild grade 1 retrolisthesis of C3 on C4 and minimally of C5 on C6; alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.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: Disc osteophyte complex and ligamentum flavum thickening result in mild to moderate spinal canal stenosis. There is mild narrowing of the bilateral neural foramina, right relatively worse than left.C4-5: Small disc osteophyte complex and ligamentum flavum thickening result in mild spinal canal stenosis. There is mild bilateral neural foraminal stenosis related to uncovertebral hypertrophy, left relatively worse than right.C5-6: Small disc osteophyte complex with mild spinal canal stenosis. There is mild to moderate left neural foraminal stenosis. Minimal right neural foraminal narrowing.C6-7: Small disc osteophyte complex including a central disc extrusion. Dorsal thecal sac is patent with at most mild spinal canal stenosis at this level. Neural foramina are patent.C7-T1: No significant compromise to the spinal canal or neural foramina.There is also mild generalized facet arthropathy. There is opacification of the right mastoid air cells, which are partially imaged. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine. There is mild to moderate spinal canal stenosis at the C3-C4 level without cord signal abnormality. Mild spinal canal stenosis is present at additional levels as described above.2. Multilevel neural foraminal narrowing is relatively worst at the left C5-C6 level. Please see additional details above.