59-year-old male with paresthesias upper extremity when arms overhead. Assess for spinal stenosis. Cervical spine alignment is maintained. No acute fracture or subluxation. The ligamentous structures are intact. No appreciable abnormal signal of the spinal cord noted with no evidence of spinal cord edema or hemorrhage. No abnormal marrow signal. The craniocervical junction is maintained. Multilevel degenerative changes are seen, individual levels is below:At C2-C3 there is minimal disc bulge with no significant neural foraminal or spinal canal stenosis.At C3-C4 there is minimal disc bulge and uncovertebral hypertrophy without significant spinal canal or neural foraminal stenosis.At C4-C5 there is minimal disc bulge with no significant neural foraminal or spinal canal stenosis.At C5-C6 there is mild disc bulge and uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis. At C6-C7 there is mild disc bulge and mild uncovertebral hypertrophy. There is no significant spinal canal or neural foraminal stenosis. At C7-T1 there is no significant spinal canal or neural foraminal stenosis. There is left-sided facet arthropathy.
Mild multilevel degenerative changes in the cervical spine without high-grade spinal canal or neural foraminal stenosis at any level. Please see additional details above.