Neck pain with headaches Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is reversal of cervical lordosis with apex at C4-C5. There is minimal anterolisthesis of C3 on C4 and minimal retrolisthesis of C4 on C5, C5 on C6, and C6 on C7. Bone marrow signal is within normal limits. There is mild generalized facet arthropathy.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: Small central disc protrusion. No significant compromise to the spinal canal or neural foramina.C3-4: Mild narrowing of the spinal canal which is predominantly developmental. Minimal narrowing of the left neural foramen related to uncovertebral hypertrophy and mild facet arthropathy. Neural foramina are otherwise patent.C4-5: Moderate to severe disc height loss with disc osteophyte complex and mild ligamentum flavum thickening contributing to mild to moderate spinal canal stenosis. There is mild narrowing of the neural foramina, left relatively greater than right.C5-6: Moderate to severe disc height loss. Small disc osteophyte complex and ligamentum flavum thickening. There is mild to moderate spinal canal stenosis. There is mild to moderate narrowing of the bilateral neural foramina related to uncovertebral hypertrophy.C6-7: Moderate to severe disc height loss. Small disc osteophyte complex with mild spinal canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.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 with mild to moderate spinal canal stenosis at the C4-C5 and C5-C6 levels and to a milder degree at the C6-C7 and C3-C4 levels.2. Multilevel neural foraminal stenosis, relatively worse at the C5-C6 level where there is mild to moderate stenosis bilaterally.3. Reversal of cervical lordosis with apex at the C4-C5 level.