Cervical radiculopathy, neck pain and radiation. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild reversal of cervical lordosis which appears to be positional. Alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: Small central disc protrusion. Left-sided facet arthropathy with minimal left neural foraminal stenosis. Otherwise no significant compromise to the spinal canal or neural foramina. C3-4: Mild disc bulge. No significant compromise to the spinal canal or neural foramina. Mild facet arthropathy, worse on the left.C4-5: Mild disc bulge. No significant compromise to the spinal canal or neural foramina.C5-6: Disc osteophyte complex including central disc protrusion with indentation of the ventral cord. There is mild to moderate spinal canal stenosis at this level. Neural foramina are patent. C6-7: No significant compromise to the spinal canal or neural foramina.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.There are multiple nodules involving the thyroid gland, which are better assessed on prior ultrasound.
Mild multilevel degenerative changes in the cervical spine as described above, not significantly changed since 5/6/2015. There is mild to moderate spinal canal stenosis at the C5-C6 level related to disc protrusion which indents the ventral aspect of the cord. There are also additional disc bulges more superiorly. No cord signal abnormality. No significant stenosis involving the neural foramina.