59-year-old male with neck pain for years, reported history of C5-C7 patient nerves, now with recurrence of pain, evaluate for neural foraminal disease. Neck and arm pain. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Minimal retrolisthesis is noted at C4 on C5. 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: Minimal disc bulge. No significant compromise to the spinal canal or neural foramina.C3-4: Minimal disc bulge. No significant compromise to the spinal canal. Minimal bilateral neural foraminal narrowing related to uncovertebral hypertrophy.C4-5: Minimal disc osteophyte complex and uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is moderate bilateral neural foraminal narrowing. C5-6: Disc osteophyte complex eccentric to the left. There is effacement of the ventral thecal sac and mild indentation on the ventral cord. Dorsal thecal sac is patent. There is moderate left neural foraminal stenosis. No significant right neural foraminal narrowing.C6-7: Minimal disc osteophyte complex and uncovertebral hypertrophy. There is moderate right neural foraminal stenosis. No significant spinal canal or left neural foraminal narrowing.C7-T1: Minimal disc osteophyte complex with uncovertebral hypertrophy. There is advanced facet arthropathy on the right. There is mild to moderate bilateral neural foraminal narrowing.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes in the cervical spine. There is mild spinal canal narrowing at C5-C6. No high-grade spinal canal stenosis or cord signal abnormality at any level. There is multilevel foraminal narrowing including bilateral C4-C5, left C5-C6, right C6-C7, and bilateral C7-T1 levels.