Left trap pain. Evaluate for stenosis. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Mild degenerative changes are seen in the cervical spine as described 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. There is mild uncovertebral hypertrophy with mild narrowing of the right neural foramen and minimal narrowing of the left neural foramen.C5-6: Left annular fissure and small left foraminal disc protrusion with minimal narrowing of the left neural foramen. Mild uncovertebral hypertrophy. No significant spinal canal or right neural foraminal stenosis.C6-7: There is a disc osteophyte complex including a left foraminal disc protrusion with moderate left-sided neural foraminal stenosis. Mild uncovertebral hypertrophy. There is mild effacement of the ventral thecal sac. No significant spinal canal or right neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Mild nonspecific opacification of the bilateral mastoid air cells. Paraspinous soft tissue structures appear within normal limits.
Mild multilevel degenerative changes in the cervical spine, relatively worse at the C5-C6 and C6-C7 levels. There is a disc osteophyte complex including a left foraminal disc protrusion at the C6-C7 level with associated moderate left neural foraminal stenosis. There may be associated impingement of the left C7 nerve root. Mild neural foraminal narrowing at right C4-C5 and left C5-C6 is also noted, as detailed above. There is mild effacement of the left ventral thecal sac at C5-C6 and C6-C7, without significant spinal canal stenosis overall at these levels or elsewhere in the cervical spine. No cervical cord signal abnormality.