Worsening neck pain, radiculopathy, cervical stenosis Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild retrolisthesis of C4 on C5 and minimal at C5 on C6 similar to prior. There is minimal worsening of height loss involving the posterior posterior aspect of the C4-C5 and C5-C6 discs. Bone marrow signal is benign. Motion degradation on some of the sequences slightly limits evaluation. However no definite cord signal abnormality is appreciated.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: Disc osteophyte complex eccentric to the right with bilateral uncovertebral hypertrophy. There is mild spinal canal stenosis. There is moderate right and mild to moderate left neural foraminal stenosis. C5-6: Disc osteophyte complex with bilateral uncovertebral hypertrophy. There is mild to moderate spinal canal stenosis. There is moderate bilateral neural foraminal stenosis.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or right neural foramen. Minimal left neural foraminal narrowing which appears slightly worseThe vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
Minimal interval progression of degenerative changes compared to 12/10/2012. Degenerative changes are again seen at the C4-C5 and C5-C6 levels. There is mild C4-C5 and mild to moderate C5-C6 spinal canal stenosis. Neural foraminal stenosis at C4-C5 and C5-C6 is also evident bilaterally as described above.