Acute cervical pain with right radiculopathy; paresthesia and weakness. There is reversal of the usual cervical lordosis. The vertebral body heights are preserved. There is multilevel degenerative spondylosis. At C2-C3, there is a small disc-osteophyte complex that slightly indents the ventral aspect of the thecal sac, but there is no significant neural foraminal stenosis. At C3-C4, there is a disc-osteophyte that indents the ventral aspect of thecal sac without spinal cord signal abnormality. Uncovertebral arthropathy results in moderate left and mild right foraminal stenoses. At C4-C5, a disc-osteophyte complex indents the spinal cord without associated signal abnormality. Uncovertebral arthropathy results in mild bilateral neural foraminal stenoses. At C5-C6, a disc-osteophyte complex indents the ventral aspect of thecal sac. Left more than right uncovertebral arthropathy results in moderate left and mild right neural foraminal stenoses. At C6-C7, a disc-osteophyte results in no significant spinal canal stenosis, but uncovertebral and facet arthropathy result in severe left and mild right neural foraminal stenoses. At C7-T1 a disc-osteophyte complex eccentric to the right result in no significant spinal canal stenosis, but there is severe right and moderate left neural foraminal stenoses. At T1-T2, facet arthropathy results in mild bilateral neural foraminal stenoses. The vertebral body heights are preserved. The paraspinal soft tissues are unremarkable. There is patchy T2 hyperintensity in the pons, which may represent chronic small vessel ischemic disease.
Multilevel degenerative cervical spondylosis, including mild C3-C4, C4-C5, and C5-C6 spinal canal stenosis and neural foraminal stenoses that are most pronounced on the right at C7-T1, and on the left at C3-C4, C5-C6, C6-C7, and C7-T1.