Right neck pain with tingling, numbness, and occasional weakness in arm. There is straightening of the normal cervical lordosis. There is a minimal retrolisthesis of C5 on C6. Vertebral body heights and alignment are otherwise preserved. The bone marrow signal is benign. There is mild degenerative spondylosis of the cervical spine, worst C6-7 where there is loss of disc height.There is mild congenital narrowing of the spinal canal, with superimposed degenerative changes which are detailed below: The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.C2/3: Disc osteophyte complex without significant spinal canal stenosis or neural foraminal narrowing.C3/4: Disc osteophyte complex without significant spinal canal stenosis. Mild bilateral neural foraminal narrowing.C4/5: Disc osteophyte complex without significant spinal canal stenosis. Mild bilateral neural foraminal narrowing C5/6: Disc osteophyte complex with mild spinal canal stenosis secondary to degenerative changes superimposed on a congenitally narrow canal. Moderate bilateral neural foraminal narrowing, right greater than left.C6/7: Disc osteophyte complex with mild spinal canal stenosis and mild bilateral neural foraminal narrowing.C7/T1: No significant spinal canal stenosis or neural foraminal narrowing.No significant spinal canal stenosis or neuroforaminal narrowing at the visualized upper thoracic levels.
1.Congenitally narrow spinal canal with superimposed degenerative changes contributing to mild spinal canal stenosis at C5-6 and C6-7.2. Multilevel neural foraminal narrowing, worst at C5/6, right greater than left. 