64-year-old man with chronic neck pain. The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained and the cervical vertebral bodies and disc spaces are appropriate in height. Scattered intermediate signal within some of the intervertebral discs likely reflects degeneration. The 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:At C2-C3 there is minimal disc bulge without significant compromise to the spinal canal. There is left-sided facet arthropathy. There is mild left neural foraminal narrowing.At C3-C4 there is severe disc bulge with moderate narrowing of the central spinal canal, mild bilateral facet joint arthropathy, and mild to moderate narrowing of the bilateral neural foramina.At C4-C5 there is mild disc bulge with moderate narrowing of the central spinal canal. There is mild bilateral facet joint arthropathy and mild narrowing of the bilateral neural foramina.At C5-C6 there is mild disc bulge with mild narrowing of the central spinal canal. There is mild bilateral facet joint arthropathy and mild narrowing of the bilateral neural foramina.At C6-C7 there is mild disc bulge without significant narrowing of the central spinal canal. There is mild bilateral facet joint arthropathy and mild narrowing of the bilateral neural foramina.At C7-T1 there is no significant disc bulge. The central spinal canal is not narrowed. There is mild bilateral facet joint arthropathy and mild narrowing of the bilateral neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes affect the cervical spine, worst at the C3-C4 level.