Neck pain, left cervical radiculopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate height. There is minimal anterolisthesis of C3 on C4. Alignment is otherwise maintained. Small foci of T1 hyperintensity involving the C1, C2, and C4 vertebral bodies compatible with focal fat or hemangioma. Mild endplate changes on a degenerative basis are seen. No suspicious osseous lesions. The cervical spinal cord has normal signal characteristics and overall morphology. There is mild diffuse congenital narrowing of the spinal canal. No evidence of high-grade stenosis or cord compression.Degenerative changes are seen in the cervical spine as described below:C2-3: There is facet arthropathy on the left with mild left neural foraminal stenosis. Mild ligamentum flavum thickening. No significant spinal canal or right neural foraminal narrowing. C3-4: There is bilateral uncovertebral hypertrophy resulting in moderate to severe right and moderate left neural foraminal stenosis. No significant spinal canal stenosis.C4-5: Minimal retrolisthesis and small disk osteophyte complex. There is bilateral uncovertebral hypertrophy resulting in moderate bilateral neural foraminal stenosis. No significant spinal canal stenosis.C5-6: There is mild to moderate bilateral neural foraminal narrowing related to uncovertebral hypertrophy. No significant spinal canal stenosis.C6-7: There is mild bilateral neural foraminal narrowing. No significant spinal canal narrowing. 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. There is mild diffuse congenital narrowing of the spinal canal on the basis of mild pedicle hypoplasia with mild superimposed degenerative changes. No high-grade spinal canal stenosis at any level or cord signal abnormality.2. There is neural foraminal narrowing bilaterally at multiple levels, particularly C3-C4, C4-C5, and C5-6, as detailed above .