Degenerative disc disease in the cervical spine with arm weakness. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is moderate loss of disc height at C5-C6, C6-C7, and C7-T1 as well as mild loss of disc height at C3-C4 with associated degenerative endplate changes. There is an area of increased T2 signal within the T1 vertebral body with associated mottled increased T1 signal suggestive of an atypical hemangioma. The spinal cord displays normal signal and morphology. At C2-C3, there is no significant spinal canal or neuroforaminal stenosis. At C3-C4, there is a posterior disc osteophyte complex, as well as ligamentum flavum hypertrophy resulting in moderate central canal stenosis and severe bilateral neuroforaminal stenosis. At C4-C5, there is a minimal posterior disc osteophyte complex, as well as left greater than right facet hypertrophy with mild right and moderate left neuroforaminal stenosis, but without significant spinal canal stenosis. At C5-C6, there is a mild posterior disc osteophyte complex, as well as facet hypertrophy and ligamentum flavum thickening resulting in mild spinal canal stenosis and mild bilateral neuroforaminal stenosis. At C6-C7, there is a posterior disc osteophyte complex, as well as facet hypertrophy resulting in mild spinal canal stenosis and moderate left and mild right neuroforaminal stenosis. At C7-T1, there is a small posterior disc osteophyte complex resulting in mild to moderate bilateral neuroforaminal stenosis and minimal spinal canal narrowing. The paravertebral soft tissues are unremarkable.
Multilevel degenerative cervical spondylosis most pronounced at C3-C4, where there is moderate central spinal canal stenosis, but no associated spinal cord signal abnormality.