43-year-old male with a presentation of right sided C5 radiculopathy symptoms clinically (right shoulder pain for approximately 2 weeks time with radiation from superior aspect of shoulder down the arm to hand and fingers). Evaluate for abnormalities of the cervical spine. The craniovertebral junction appears within normal limits. There is slight reversal of the cervical lordotic curvature. There is mild degenerative height loss involving the C5 and C6 vertebral bodies as well as multilevel disc height loss most prominently involving the C4-5 and C5-6 levels. There is heterogeneity of the bone marrow corresponding with the degenerative changes. However, no focal worrisome bone marrow signal abnormality is visualized. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.Interspace observations:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Mild left greater than right facet and uncovertebral hypertrophy without significant compromise to the spinal canal. Mild left foraminal narrowing.C4-5: Prominent disc osteophyte complex with a right foraminal focal component which along with facet hypertrophy contributes to severe right and moderate left neural foraminal narrowing. There is also mild spinal canal stenosis.C5-6: Right greater than left disc osteophyte complex with facet hypertrophy which contribute to moderate left and mild right neuroforaminal narrowing. There is no spinal canal stenosis. C6-7: Mild facet and uncovertebral hypertrophy without significant compromise to the spinal canal and only mild left foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.
Multilevel spondylotic changes most prominent at the right C4-5 level where there is a right foraminal disc protrusion which causes severe right neural foraminal stenosis. There is mild spinal canal stenosis at this level as well.