Left-sided neck paresthesias. Right fourth/fifth finger paresthesia for 3 months. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from minimal retrolisthesis of C3 on C4. There is a subcentimeter focus of T1 hypointensity and STIR hyperintensity involving the anterior base of the dens which is nonspecific. Bone marrow signal is otherwise unremarkable. No discrete destructive or infiltrative osseous lesions are evident. The cervical spinal cord has normal signal characteristics and overall morphology.Mild multilevel degenerative changes are seen including mild generalized facet arthropathy, relatively worse at the right C7-T1 level. Individual levels as below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small disc osteophyte complex including uncovertebral hypertrophy. There is mild right and moderate left neural foraminal stenosis. No significant compromise to the spinal canal.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: Minimal disc osteophyte complex and ligamentum flavum thickening. No significant spinal canal stenosis. There is minimal left neural foraminal stenosis related to uncovertebral hypertrophy and mild facet arthropathy.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina. Mild bilateral facet arthropathy, right greater than left.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Mild multilevel degenerative changes in the cervical spine as described above. There is no significant spinal canal stenosis at any level or cord signal abnormality. Neural foraminal stenosis is relatively worse at the left C3-C4 level where there is moderate stenosis.2. Subcentimeter T1 hypointense, T2/STIR hyperintense vertebral lesion at C2 which may represent an atypical hemangioma, but is nonspecific.