Bilateral shoulder pain, rule out cord compression Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of normal cervical lordosis. Alignment is otherwise maintained. Bone marrow signal is slightly heterogeneous which is nonspecific. However no discrete suspicious osseous lesions are demonstrated in the cervical spine. There is T1 shortening involving the anterior aspect of the cervical vertebral bodies as well as the skull base which may represent sequela of prior radiation.The cervical spinal cord has normal signal characteristics and overall morphology. Sagittal postcontrast sequences are limited due to lack of fat saturation, and could not be repeated due to patient intolerance. No abnormal enhancement however is appreciated.Degenerative changes are seen throughout the cervical spine including multilevel disc height loss, which is relatively worse at the C4-5, C5-C6, and C6-C7 levels. There is ossification of the posterior longitudinal ligament extending from the C4 to the C6 levels.Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina. Mild right-sided facet arthropathy.C3-4: Disc osteophyte complex and uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is mild to moderate right and mild left neural foraminal narrowing.C4-5: Central osteophyte contributes to to mild spinal canal stenosis. There is no significant neural foraminal stenosis.C5-6: Central osteophyte contributes to effacement of the ventral thecal sac and minimal overall spinal canal narrowing. There is no significant neural foraminal stenosis. C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: Small disc osteophyte complex eccentric to the right with right-sided uncovertebral hypertrophy. There is mild right-sided neural foraminal narrowing. No significant compromise to the spinal canal or left neural foraminal narrowing. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.There is prominent volume loss involving the cerebellar vermis which is again seen.
1. Multilevel degenerative changes throughout the cervical spine without high-grade spinal canal or high-grade neural foraminal stenosis at any level. Degenerative changes are relatively worse at the C3-C4 level where there is up to mild-to-moderate right neural foraminal stenosis.2. No cord signal abnormality.3. No suspicious osseous lesions or evidence of tumor within the spinal canal. 