Neck pain, evaluate for myelopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis with mild kyphosis at the C5-C6 level. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine with multilevel disc desiccation and significant disc height loss at the C5-C6 and C6-C7 levels. Individual levels as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: There is a disc osteophyte complex and ligamentum flavum flavum thickening resulting in mild to moderate spinal canal stenosis at this level. There is prominent uncovertebral hypertrophy at this level resulting in severe left and moderate to severe right neural foraminal stenosis.C6-7: There is a disc osteophyte complex which effaces the ventral thecal sac and results in mild spinal canal stenosis. There is severe left and moderate to severe right neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina. Bilateral facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Degenerative changes in the cervical spine particularly at the C5-C6 and C6-C7 levels. There is associated mild to moderate spinal canal stenosis. No cord signal abnormality. There is also prominent uncovertebral hypertrophy with significant neural foraminal stenoses bilaterally at these levels.